Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $426.58 / $851.14	Facility		$269.15	$426.58	$851.14
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	54	$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $676.08	Professional		$239.88	$309.03	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $281.84	Professional		$194.98	$281.84	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $707.95	Professional		$263.03	$398.11	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $630.96	Professional		$263.03	$363.08	$630.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $676.08	Professional		$407.38	$407.38	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $537.03	Facility		$257.04	$338.84	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $691.83	Professional		$426.58	$501.19	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $724.44 / $1,949.84	Facility		$181.97	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $537.03	Professional		$213.80	$281.84	$537.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,659.59 / $1,659.59	Facility		$56.23	$1,659.59	$1,659.59
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	54	$1,148.15	$1,148.15	$1,148.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,570.40	Professional		$2,187.76	$2,187.76	$2,570.40