Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.87 / $494.96 / $1,342.57	Facility		$184.87	$494.96	$1,342.57
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $138.65 / $147.32 / $228.17	Facility	54	$138.65	$147.32	$228.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.97 / $200.22 / $413.81	Professional		$163.97	$200.22	$413.81
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $138.65 / $149.47 / $266.08	Professional	54	$138.65	$149.47	$266.08
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $134.94 / $134.94 / $134.94	Professional	54	$134.94	$134.94	$134.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.54 / $287.08 / $512.48	Professional		$188.54	$287.08	$512.48
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 $185.75 / $262.45 / $476.61	Professional		$185.75	$262.45	$476.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.65 / $231.04 / $372.02	Facility		$181.65	$231.04	$372.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.91 / $244.00 / $275.00	Professional		$222.91	$244.00	$275.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $315.16 / $396.02	Professional		$278.89	$315.16	$396.02
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 $163.41 / $234.91 / $520.71	Professional		$163.41	$234.91	$520.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,041.68 / $1,041.68	Facility		$55.00	$1,041.68	$1,041.68
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $360.53 / $729.18 / $729.18	Facility	54	$360.53	$729.18	$729.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,439.44 / $1,532.48 / $1,820.18	Professional		$1,439.44	$1,532.48	$1,820.18