Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $249.00	Facility		$120.00	$120.00	$249.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $120.00 / $127.50	Professional		$99.75	$120.00	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.98 / $208.58 / $394.11	Facility		$113.98	$208.58	$394.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $150.00 / $225.00	Facility		$120.00	$150.00	$225.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $97.50 / $150.00	Professional		$97.50	$97.50	$150.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $229.50 / $287.25	Professional		$165.00	$229.50	$287.25
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $90.00 / $225.00	Professional		$75.00	$90.00	$225.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $261.00 / $712.50 / $712.50	Facility		$261.00	$712.50	$712.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $1,125.00	Professional		$750.00	$750.00	$1,125.00