Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.16 / $345.49 / $5,449.00	Facility		$252.16	$345.49	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $213.13 / $231.92 / $364.97	Facility	54	$213.13	$231.92	$364.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $318.63 / $723.00	Professional		$259.72	$318.63	$723.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.09 / $329.00 / $592.91	Professional		$164.09	$329.00	$592.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.99 / $460.74 / $814.98	Professional		$306.99	$460.74	$814.98
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 $302.14 / $419.57 / $759.96	Professional		$302.14	$419.57	$759.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $364.99 / $582.39	Facility		$280.00	$364.99	$582.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $364.99 / $390.00 / $421.00	Professional		$364.99	$390.00	$421.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $420.26 / $490.81 / $590.16	Professional		$420.26	$490.81	$590.16
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 $260.66 / $365.48 / $829.85	Professional		$260.66	$365.48	$829.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,369.20 / $1,545.03 / $12,000.00	Facility		$1,369.20	$1,545.03	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $538.90 / $1,081.52 / $1,081.52	Facility	54	$538.90	$1,081.52	$1,081.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,155.44 / $2,355.92 / $2,780.93	Professional		$2,155.44	$2,355.92	$2,780.93