Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.43 / $400.62 / $1,995.00	Facility		$261.43	$400.62	$1,995.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $220.26 / $244.34 / $369.96	Facility	54	$220.26	$244.34	$369.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $325.79 / $663.48	Professional		$266.07	$325.79	$663.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $214.76 / $252.65	Professional		$214.76	$214.76	$252.65
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 $314.60 / $478.14 / $844.31	Professional		$314.60	$478.14	$844.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $530.04	Facility		$221.28	$221.28	$530.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.70 / $425.59 / $779.64	Professional		$312.70	$425.59	$779.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $293.68 / $390.95 / $606.91	Facility		$293.68	$390.95	$606.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $368.28 / $396.00 / $600.00	Professional		$368.28	$396.00	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $435.42 / $483.20 / $633.28	Professional		$435.42	$483.20	$633.28
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 $269.38 / $389.56 / $763.21	Professional		$269.38	$389.56	$763.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,424.80 / $1,609.06 / $16,394.00	Facility		$1,424.80	$1,609.06	$16,394.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $559.36 / $1,126.33 / $1,126.33	Facility	54	$559.36	$1,126.33	$1,126.33
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,238.40 / $2,481.76 / $2,947.43	Professional		$2,238.40	$2,481.76	$2,947.43