Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.58 / $371.56 / $3,707.00	Facility		$302.58	$371.56	$3,707.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $226.94 / $245.24 / $384.70	Facility	54	$226.94	$245.24	$384.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $326.99 / $615.17	Professional		$276.68	$326.99	$615.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.99 / $211.99 / $211.99	Professional		$211.99	$211.99	$211.99
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 $327.17 / $493.28 / $862.13	Professional		$327.17	$493.28	$862.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $395.75	Facility		$221.28	$221.28	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.14 / $442.72 / $805.77	Professional		$319.14	$442.72	$805.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.58 / $384.93 / $630.48	Facility		$302.58	$384.93	$630.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $411.00 / $450.00	Professional		$378.00	$411.00	$450.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $450.74 / $524.86 / $634.36	Professional		$450.74	$524.86	$634.36
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 $276.02 / $395.08 / $801.10	Professional		$276.02	$395.08	$801.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,476.44 / $1,666.97 / $12,000.00	Facility		$1,476.44	$1,666.97	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $580.80 / $1,166.88 / $1,166.88	Facility	54	$580.80	$1,166.88	$1,166.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,323.04 / $2,518.71 / $2,977.43	Professional		$2,323.04	$2,518.71	$2,977.43