Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.34 / $412.88 / $3,707.00	Facility		$230.34	$412.88	$3,707.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $191.03 / $213.91 / $320.27	Facility	54	$191.03	$213.91	$320.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.24 / $285.20 / $605.00	Professional		$242.24	$285.20	$605.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $312.01 / $312.01 / $312.01	Professional		$312.01	$312.01	$312.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.57 / $397.09 / $719.34	Professional		$259.57	$397.09	$719.34
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 $252.34 / $360.21 / $676.39	Professional		$252.34	$360.21	$676.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.70 / $334.39 / $515.32	Facility		$254.70	$334.39	$515.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $342.00 / $394.00	Professional		$309.70	$342.00	$394.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $381.02 / $426.49 / $558.74	Professional		$381.02	$426.49	$558.74
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 $235.30 / $323.54 / $683.38	Professional		$235.30	$323.54	$683.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,415.36 / $1,415.36	Facility		$55.00	$1,415.36	$1,415.36
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $491.47 / $990.75 / $990.75	Facility	54	$491.47	$990.75	$990.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,965.36 / $2,199.12 / $2,610.90	Professional		$1,965.36	$2,199.12	$2,610.90