Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.63 / $314.66 / $5,449.00	Facility		$151.63	$314.66	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $189.87 / $209.86 / $315.49	Facility	54	$189.87	$209.86	$315.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.84 / $279.81 / $517.92	Professional		$222.84	$279.81	$517.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.81 / $308.77 / $308.77	Professional		$272.81	$308.77	$308.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.42 / $390.16 / $706.56	Professional		$257.42	$390.16	$706.56
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 $256.54 / $357.03 / $660.87	Professional		$256.54	$357.03	$660.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $253.16 / $333.32 / $512.00	Facility		$253.16	$333.32	$512.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $305.20 / $337.00 / $387.00	Professional		$305.20	$337.00	$387.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $379.33 / $419.78 / $549.80	Professional		$379.33	$419.78	$549.80
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 $230.40 / $322.49 / $668.02	Professional		$230.40	$322.49	$668.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,408.57 / $1,408.57	Facility		$55.00	$1,408.57	$1,408.57
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $489.45 / $986.00 / $986.00	Facility	54	$489.45	$986.00	$986.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,957.12 / $2,159.92 / $2,561.33	Professional		$1,957.12	$2,159.92	$2,561.33