Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.39 / $292.60 / $1,160.60	Facility		$173.39	$292.60	$1,160.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.80 / $576.00 / $612.00	Professional		$478.80	$576.00	$612.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.09 / $594.83 / $1,890.46	Facility		$547.09	$594.83	$1,890.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $720.00 / $1,080.00	Facility		$576.00	$720.00	$1,080.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $720.00 / $720.00	Professional		$468.00	$720.00	$720.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $792.00 / $1,101.59 / $1,378.80	Professional		$792.00	$1,101.59	$1,378.80
United Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $432.00 / $741.60	Professional		$360.00	$432.00	$741.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,252.80 / $3,420.00 / $3,420.00	Facility		$1,252.80	$3,420.00	$3,420.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $5,400.00	Professional		$3,600.00	$3,600.00	$5,400.00