Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.72 / $323.47 / $1,350.00	Facility		$138.72	$323.47	$1,350.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $104.05 / $119.22 / $188.90	Facility	54	$104.05	$119.22	$188.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $158.96 / $313.23	Professional		$131.94	$158.96	$313.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.94 / $167.94 / $167.94	Professional		$167.94	$167.94	$167.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.74 / $232.11 / $415.86	Professional		$155.74	$232.11	$415.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $188.76 / $606.10	Facility		$188.76	$188.76	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.80 / $213.45 / $394.88	Professional		$155.80	$213.45	$394.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.72 / $186.96 / $295.20	Facility		$138.72	$186.96	$295.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $184.65 / $202.00 / $220.00	Professional		$184.65	$202.00	$220.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.01 / $240.15 / $298.24	Professional		$210.01	$240.15	$298.24
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 $134.83 / $188.58 / $392.73	Professional		$134.83	$188.58	$392.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $773.06 / $773.06	Facility		$55.00	$773.06	$773.06
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $271.64 / $541.14 / $541.14	Facility	54	$271.64	$541.14	$541.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,082.24 / $1,234.96 / $1,429.13	Professional		$1,082.24	$1,234.96	$1,429.13