Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.23 / $345.55 / $5,449.00	Facility		$231.23	$345.55	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.42 / $178.49 / $276.29	Facility	54	$173.42	$178.49	$276.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $237.98 / $451.10	Professional		$200.02	$237.98	$451.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.83 / $293.83 / $350.68	Professional		$293.83	$293.83	$350.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.35 / $366.22 / $640.91	Professional		$233.35	$366.22	$640.91
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 $238.22 / $327.58 / $573.35	Professional		$238.22	$327.58	$573.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $231.23 / $285.58 / $437.73	Facility		$231.23	$285.58	$437.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $266.48 / $286.00 / $400.00	Professional		$266.48	$286.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $327.70 / $392.88 / $447.46	Professional		$327.70	$392.88	$447.46
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 $190.98 / $268.02 / $560.27	Professional		$190.98	$268.02	$560.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,373.52 / $2,000.00 / $12,000.00	Facility		$1,373.52	$2,000.00	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $291.72 / $443.97 / $895.43	Facility	54	$291.72	$443.97	$895.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,776.88 / $1,838.88 / $2,189.85	Professional		$1,776.88	$1,838.88	$2,189.85