Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.00 / $608.00 / $1,261.59	Facility		$608.00	$608.00	$1,261.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.40 / $608.00 / $646.00	Professional		$505.40	$608.00	$646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $577.49 / $627.87 / $1,995.44	Facility		$577.49	$627.87	$1,995.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $608.00 / $760.00 / $1,140.00	Facility		$608.00	$760.00	$1,140.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $494.00 / $760.00	Professional		$494.00	$494.00	$760.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $1,162.80 / $1,455.40	Professional		$760.00	$1,162.80	$1,455.40
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $912.00 / $912.00	Facility		$912.00	$912.00	$912.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $456.00 / $760.00	Professional		$380.00	$456.00	$760.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,322.40 / $3,610.00 / $3,610.00	Facility		$1,322.40	$3,610.00	$3,610.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $5,700.00	Professional		$3,800.00	$3,800.00	$5,700.00