Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.29 / $418.33 / $518.49	Facility		$185.29	$418.33	$518.49
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $138.01 / $138.97 / $212.74	Facility	54	$138.01	$138.97	$212.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.96 / $187.72 / $382.00	Professional		$162.96	$187.72	$382.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.83 / $201.83 / $201.83	Professional		$201.83	$201.83	$201.83
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 $183.98 / $277.86 / $494.98	Professional		$183.98	$277.86	$494.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.84 / $214.84 / $606.10	Facility		$214.84	$214.84	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.55 / $256.76 / $449.75	Professional		$184.55	$256.76	$449.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.01 / $223.40 / $353.00	Facility		$184.01	$223.40	$353.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.99 / $226.00 / $257.00	Professional		$208.99	$226.00	$257.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $264.80 / $305.81 / $370.76	Professional		$264.80	$305.81	$370.76
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 $153.60 / $215.04 / $489.75	Professional		$153.60	$215.04	$489.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $913.48 / $3,930.50	Facility		$55.00	$913.48	$3,930.50
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $283.22 / $359.03 / $725.42	Facility	54	$283.22	$359.03	$725.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,434.32 / $1,451.04 / $1,724.18	Professional		$1,434.32	$1,451.04	$1,724.18