Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.79 / $401.94 / $5,449.00	Facility		$237.79	$401.94	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $178.34 / $194.00 / $301.45	Facility	54	$178.34	$194.00	$301.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.79 / $261.75 / $492.44	Professional		$223.79	$261.75	$492.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $292.51 / $292.51 / $292.51	Professional		$292.51	$292.51	$292.51
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 $248.92 / $380.04 / $678.95	Professional		$248.92	$380.04	$678.95
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 $243.77 / $340.04 / $631.16	Professional		$243.77	$340.04	$631.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $237.79 / $310.39 / $478.89	Facility		$237.79	$310.39	$478.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $323.00 / $361.00	Professional		$294.52	$323.00	$361.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $357.58 / $394.50 / $508.09	Professional		$357.58	$394.50	$508.09
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 $217.80 / $315.16 / $714.92	Professional		$217.80	$315.16	$714.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,340.88 / $1,340.88	Facility		$55.00	$1,340.88	$1,340.88
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $463.97 / $938.62 / $938.62	Facility	54	$463.97	$938.62	$938.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,851.68 / $2,013.92 / $2,390.48	Professional		$1,851.68	$2,013.92	$2,390.48