Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.20 / $447.09 / $1,615.00	Facility		$301.20	$447.09	$1,615.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $225.90 / $243.97 / $368.63	Facility	54	$225.90	$243.97	$368.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.27 / $325.29 / $616.95	Professional		$277.27	$325.29	$616.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $325.74 / $325.74 / $325.74	Professional		$325.74	$325.74	$325.74
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 $313.11 / $472.23 / $825.99	Professional		$313.11	$472.23	$825.99
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 $308.58 / $429.07 / $780.39	Professional		$308.58	$429.07	$780.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $301.20 / $385.00 / $601.17	Facility		$301.20	$385.00	$601.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $367.53 / $394.00 / $444.00	Professional		$367.53	$394.00	$444.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $441.08 / $498.58 / $594.38	Professional		$441.08	$498.58	$594.38
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 $269.95 / $377.93 / $779.30	Professional		$269.95	$377.93	$779.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,653.43 / $1,653.43	Facility		$55.00	$1,653.43	$1,653.43
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $575.80 / $1,157.40 / $1,157.40	Facility	54	$575.80	$1,157.40	$1,157.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,305.84 / $2,482.40 / $2,946.08	Professional		$2,305.84	$2,482.40	$2,946.08