Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.41 / $641.39 / $3,076.14	Facility		$379.41	$641.39	$3,076.14
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $284.56 / $313.70 / $487.58	Facility	54	$284.56	$313.70	$487.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.41 / $418.27 / $771.33	Professional		$379.41	$418.27	$771.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.76 / $254.76 / $254.76	Professional		$254.76	$254.76	$254.76
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 $427.28 / $621.37 / $1,071.58	Professional		$427.28	$621.37	$1,071.58
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 $419.46 / $575.33 / $1,025.48	Professional		$419.46	$575.33	$1,025.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $379.41 / $501.92 / $842.49	Facility		$379.41	$501.92	$842.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $520.00 / $568.00	Professional		$378.00	$520.00	$568.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $559.66 / $655.61 / $838.19	Professional		$559.66	$655.61	$838.19
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 $365.74 / $527.27 / $1,157.19	Professional		$365.74	$527.27	$1,157.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,820.80 / $2,031.48 / $12,000.00	Facility		$1,820.80	$2,031.48	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $712.89 / $1,422.04 / $1,422.04	Facility	54	$712.89	$1,422.04	$1,422.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,865.60 / $3,173.36 / $3,762.75	Professional		$2,865.60	$3,173.36	$3,762.75