Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $622.50	Facility		$300.00	$300.00	$622.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $318.75	Professional		$300.00	$300.00	$318.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.94 / $522.17 / $984.82	Facility		$284.94	$522.17	$984.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $375.00 / $562.50	Facility		$300.00	$375.00	$562.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $243.75 / $375.00	Professional		$243.75	$243.75	$375.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $412.50 / $573.75 / $718.12	Professional		$412.50	$573.75	$718.12
United Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $225.00 / $386.25	Professional		$187.50	$225.00	$386.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $652.50 / $1,781.25 / $1,781.25	Facility		$652.50	$1,781.25	$1,781.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $2,812.50	Professional		$1,875.00	$1,875.00	$2,812.50