Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.70 / $304.57 / $5,449.00	Facility		$239.70	$304.57	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $210.60 / $228.43 / $353.35	Facility	54	$210.60	$228.43	$353.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.72 / $304.57 / $540.08	Professional		$251.72	$304.57	$540.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $393.35 / $393.35 / $393.35	Professional		$393.35	$393.35	$393.35
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 $291.44 / $441.94 / $791.67	Professional		$291.44	$441.94	$791.67
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 $289.43 / $400.50 / $737.99	Professional		$289.43	$400.50	$737.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $280.80 / $365.04 / $560.79	Facility		$280.80	$365.04	$560.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.61 / $378.00 / $418.00	Professional		$346.61	$378.00	$418.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $417.25 / $486.83 / $594.67	Professional		$417.25	$486.83	$594.67
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 $254.07 / $353.80 / $736.42	Professional		$254.07	$353.80	$736.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,367.96 / $1,547.88 / $12,000.00	Facility		$1,367.96	$1,547.88	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $537.58 / $1,083.52 / $1,083.52	Facility	54	$537.58	$1,083.52	$1,083.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,149.36 / $2,335.44 / $2,771.03	Professional		$2,149.36	$2,335.44	$2,771.03