Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.60 / $85.60 / $177.62	Facility		$85.60	$85.60	$177.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $85.60 / $85.60	Professional		$71.16	$85.60	$85.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $88.40 / $281.12	Facility		$81.30	$88.40	$281.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.60 / $107.00 / $160.50	Facility		$85.60	$107.00	$160.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $69.55 / $107.00	Professional		$69.55	$69.55	$107.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $163.71 / $204.91	Professional		$117.70	$163.71	$204.91
United Facility/Professional Professional Modifier Low / Median / High Price $53.50 / $64.20 / $110.21	Professional		$53.50	$64.20	$110.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $186.18 / $508.25 / $508.25	Facility		$186.18	$508.25	$508.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $535.00 / $802.50	Professional		$535.00	$535.00	$802.50