Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.48 / $334.21 / $5,449.00	Facility		$231.48	$334.21	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.61 / $176.26 / $263.08	Facility	54	$173.61	$176.26	$263.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $235.01 / $419.91	Professional		$200.78	$235.01	$419.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $339.90 / $339.90 / $339.90	Professional		$339.90	$339.90	$339.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.89 / $115.89 / $117.58	Facility		$115.89	$115.89	$117.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.36 / $341.04 / $601.72	Professional		$227.36	$341.04	$601.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $395.75	Facility		$221.28	$221.28	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.06 / $316.33 / $554.75	Professional		$228.06	$316.33	$554.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $230.69 / $282.01 / $432.23	Facility		$230.69	$282.01	$432.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.27 / $276.00 / $400.00	Professional		$257.27	$276.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.50 / $386.23 / $465.07	Professional		$330.50	$386.23	$465.07
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.92 / $278.42 / $637.91	Professional		$192.92	$278.42	$637.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,416.85 / $1,416.85 / $12,000.00	Facility		$1,416.85	$1,416.85	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $444.58 / $896.72 / $896.72	Facility	54	$444.58	$896.72	$896.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,779.28 / $1,791.20 / $2,133.30	Professional		$1,779.28	$1,791.20	$2,133.30