Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $73.33 / $182.42	Facility		$73.33	$73.33	$182.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $73.33 / $86.57	Professional		$60.95	$73.33	$86.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $127.66 / $240.20	Facility		$69.65	$127.66	$240.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $113.17 / $152.78	Facility		$73.33	$113.17	$152.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $73.56 / $113.17	Professional		$73.56	$73.56	$113.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $140.24 / $175.53	Professional		$91.66	$140.24	$175.53
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $56.59 / $113.17	Professional		$45.83	$56.59	$113.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $159.49 / $435.39 / $435.39	Facility		$159.49	$435.39	$435.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $458.30 / $458.30 / $687.45	Professional		$458.30	$458.30	$687.45