Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.81 / $198.81 / $412.53	Facility		$198.81	$198.81	$412.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $198.81 / $198.81	Professional		$198.81	$198.81	$198.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.83 / $345.87 / $652.10	Facility		$188.83	$345.87	$652.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $198.81 / $248.51 / $372.77	Facility		$198.81	$248.51	$372.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $250.00	Professional		$248.51	$248.51	$250.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $380.22 / $475.90	Professional		$248.51	$380.22	$475.90
United Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $149.11 / $323.06	Professional		$124.26	$149.11	$323.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $432.41 / $1,180.42 / $1,180.42	Facility		$432.41	$1,180.42	$1,180.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,242.55 / $1,242.55 / $1,863.83	Professional		$1,242.55	$1,242.55	$1,863.83