Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.75 / $321.86 / $4,311.00	Facility		$222.75	$321.86	$4,311.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $225.88 / $247.32 / $385.68	Facility	54	$225.88	$247.32	$385.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.04 / $329.76 / $622.92	Professional		$273.04	$329.76	$622.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.16 / $371.16 / $371.16	Professional		$371.16	$371.16	$371.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.18 / $503.88 / $862.94	Professional		$322.18	$503.88	$862.94
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 $317.14 / $441.07 / $806.95	Professional		$317.14	$441.07	$806.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $301.17 / $395.71 / $625.12	Facility		$301.17	$395.71	$625.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $413.00 / $453.00	Professional		$378.00	$413.00	$453.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $447.74 / $525.60 / $643.90	Professional		$447.74	$525.60	$643.90
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 $276.56 / $402.37 / $800.81	Professional		$276.56	$402.37	$800.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,465.20 / $1,658.32 / $12,000.00	Facility		$1,465.20	$1,658.32	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $576.03 / $1,160.82 / $1,160.82	Facility	54	$576.03	$1,160.82	$1,160.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,302.71 / $2,531.76 / $3,001.65	Professional		$2,302.71	$2,531.76	$3,001.65