Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.33 / $478.33 / $992.53	Facility		$478.33	$478.33	$992.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.61 / $478.33 / $508.22	Professional		$397.61	$478.33	$508.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.32 / $832.41 / $1,569.30	Facility		$454.32	$832.41	$1,569.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $478.33 / $597.91 / $896.87	Facility		$478.33	$597.91	$896.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $388.64 / $388.64 / $597.91	Professional		$388.64	$388.64	$597.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $657.70 / $914.80 / $1,145.00	Professional		$657.70	$914.80	$1,145.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $358.75 / $657.70	Professional		$298.95	$358.75	$657.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,040.35 / $2,840.07 / $2,840.07	Facility		$1,040.35	$2,840.07	$2,840.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,989.55 / $2,989.55 / $4,484.33	Professional		$2,989.55	$2,989.55	$4,484.33