Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.82 / $363.60 / $1,350.00	Facility		$240.82	$363.60	$1,350.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $180.62 / $194.10 / $301.26	Facility	54	$180.62	$194.10	$301.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $261.44 / $530.91	Professional		$215.47	$261.44	$530.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.82 / $281.82 / $281.82	Professional		$281.82	$281.82	$281.82
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 $251.10 / $384.34 / $676.54	Professional		$251.10	$384.34	$676.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $606.10	Facility		$221.28	$221.28	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.99 / $343.20 / $630.77	Professional		$243.99	$343.20	$630.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $240.82 / $310.56 / $483.45	Facility		$240.82	$310.56	$483.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.93 / $322.00 / $360.00	Professional		$295.93	$322.00	$360.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $361.75 / $426.98 / $507.64	Professional		$361.75	$426.98	$507.64
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 $216.88 / $312.83 / $690.46	Professional		$216.88	$312.83	$690.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,352.66 / $1,352.66	Facility		$55.00	$1,352.66	$1,352.66
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $468.05 / $946.86 / $946.86	Facility	54	$468.05	$946.86	$946.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,006.00 / $2,387.85	Professional		$1,870.00	$2,006.00	$2,387.85