Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,148.15 / $5,128.61	Facility		$190.55	$1,148.15	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $190.55 / $549.54	Professional		$81.28	$190.55	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $389.05	Professional		$64.57	$72.44	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $363.08 / $562.34	Professional		$138.04	$363.08	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $218.78 / $457.09	Professional		$102.33	$218.78	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $190.55 / $389.05	Facility		$83.18	$190.55	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $371.54 / $741.31	Professional		$30.20	$371.54	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $724.44 / $1,949.84	Facility		$204.17	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $190.55 / $380.19	Professional		$85.11	$190.55	$380.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,951.21 / $2,951.21	Facility		$56.23	$2,951.21	$2,951.21
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	53	$147.91	$147.91	$147.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $1,621.81	Professional		$1,548.82	$1,621.81	$1,621.81