Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.38 / $282.18 / $3,707.00	Facility		$178.38	$282.18	$3,707.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $246.54 / $266.77 / $413.30	Facility	54	$246.54	$266.77	$413.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.83 / $355.70 / $670.82	Professional		$291.83	$355.70	$670.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $383.88 / $383.88	Professional		$383.88	$383.88	$383.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.33 / $519.54 / $925.47	Professional		$343.33	$519.54	$925.47
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 $331.63 / $469.99 / $864.65	Professional		$331.63	$469.99	$864.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $328.72 / $426.84 / $653.38	Facility		$328.72	$426.84	$653.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $442.00 / $489.00	Professional		$378.00	$442.00	$489.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.80 / $574.40 / $698.24	Professional		$489.80	$574.40	$698.24
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 $297.20 / $425.20 / $860.59	Professional		$297.20	$425.20	$860.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,600.56 / $1,807.57 / $12,000.00	Facility		$1,600.56	$1,807.57	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $628.48 / $1,265.30 / $1,265.30	Facility	54	$628.48	$1,265.30	$1,265.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,514.96 / $2,732.08 / $3,243.45	Professional		$2,514.96	$2,732.08	$3,243.45