Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.30 / $107.30 / $222.66	Facility		$107.30	$107.30	$222.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $107.30 / $114.01	Professional		$89.20	$107.30	$114.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $110.81 / $352.29	Facility		$101.91	$110.81	$352.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.30 / $134.13 / $201.20	Facility		$107.30	$134.13	$201.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $87.18 / $134.13	Professional		$87.18	$87.18	$134.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $205.22 / $256.86	Professional		$134.13	$205.22	$256.86
United Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $158.27 / $160.96	Facility		$80.48	$158.27	$160.96
United Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $80.48 / $138.15	Professional		$67.06	$80.48	$138.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $233.39 / $637.12 / $637.12	Facility		$233.39	$637.12	$637.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $670.65 / $670.65 / $1,005.98	Professional		$670.65	$670.65	$1,005.98