Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $131.16 / $326.30	Facility		$131.16	$131.16	$326.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $131.16 / $154.85	Professional		$109.03	$131.16	$154.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.58 / $228.33 / $430.58	Facility		$124.58	$228.33	$430.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $202.42 / $273.27	Facility		$131.16	$202.42	$273.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.57 / $131.57 / $202.42	Professional		$131.57	$131.57	$202.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $250.86 / $313.98	Professional		$163.96	$250.86	$313.98
United Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $101.21 / $303.63	Professional		$81.98	$101.21	$303.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $285.29 / $778.81 / $778.81	Facility		$285.29	$778.81	$778.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $819.80 / $819.80 / $1,229.70	Professional		$819.80	$819.80	$1,229.70