Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $316.23 / $5,495.41	Facility		$181.97	$316.23	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $338.84	Professional		$120.23	$162.18	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $141.25	Professional		$100.00	$138.04	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $117.49	Facility		$114.82	$114.82	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $363.08	Professional		$134.90	$194.98	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $309.03	Professional		$128.82	$181.97	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $331.13	Professional		$194.98	$194.98	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $165.96 / $257.04	Facility		$120.23	$165.96	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $316.23	Professional		$199.53	$239.88	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $724.44 / $1,949.84	Facility		$181.97	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $269.15	Professional		$107.15	$141.25	$269.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $3,890.45 / $3,890.45	Facility		$56.23	$3,890.45	$3,890.45
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	54	$549.54	$549.54	$549.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,258.93	Professional		$1,071.52	$1,071.52	$1,258.93