Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $446.68 / $5,495.41	Facility		$338.84	$446.68	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $691.83	Professional		$251.19	$323.59	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $117.49	Facility		$114.82	$114.82	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $758.58	Professional		$281.84	$407.38	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $645.65	Professional		$269.15	$380.19	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $691.83	Professional		$426.58	$426.58	$691.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $537.03	Facility		$263.03	$346.74	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $630.96	Professional		$389.05	$446.68	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $724.44 / $1,949.84	Facility		$181.97	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $562.34	Professional		$223.87	$295.12	$562.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,498.45	Facility		$1,995.26	$1,995.26	$19,498.45
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	54	$1,202.26	$1,202.26	$1,202.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,630.27	Professional		$2,238.72	$2,238.72	$2,630.27