Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.42 / $431.84 / $622.27	Facility		$281.42	$431.84	$622.27
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $211.07 / $221.66 / $338.66	Facility	54	$211.07	$221.66	$338.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $303.94 / $640.96	Professional		$245.16	$303.94	$640.96
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $211.07 / $223.41 / $420.65	Professional	54	$211.07	$223.41	$420.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.35 / $433.88 / $580.28	Professional		$281.35	$433.88	$580.28
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $599.07 / $599.07 / $599.07	Professional	54	$599.07	$599.07	$599.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.07 / $414.11 / $757.76	Professional		$276.07	$414.11	$757.76
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 $249.32 / $377.23 / $710.78	Professional		$249.32	$377.23	$710.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $326.56 / $520.87	Facility		$225.00	$326.56	$520.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $326.56 / $362.00 / $409.00	Professional		$326.56	$362.00	$409.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $421.55 / $465.08 / $575.41	Professional		$421.55	$465.08	$575.41
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 $245.41 / $337.44 / $710.97	Professional		$245.41	$337.44	$710.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,579.14 / $1,579.14	Facility		$55.00	$1,579.14	$1,579.14
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $546.29 / $1,105.40 / $1,105.40	Facility	54	$546.29	$1,105.40	$1,105.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,179.04 / $2,284.00 / $2,708.48	Professional		$2,179.04	$2,284.00	$2,708.48