Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $139.85 / $290.19	Facility		$139.85	$139.85	$290.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $139.85 / $148.59	Professional		$116.25	$139.85	$148.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.83 / $144.41 / $459.05	Facility		$132.83	$144.41	$459.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $174.81 / $262.22	Facility		$139.85	$174.81	$262.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $113.63 / $174.81	Professional		$113.63	$113.63	$174.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $267.45 / $334.76	Professional		$174.81	$267.45	$334.76
United Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Facility		$174.81	$174.81	$174.81
United Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $104.89 / $180.05	Professional		$87.41	$104.89	$180.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $304.17 / $830.35 / $830.35	Facility		$304.17	$830.35	$830.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $874.05 / $874.05 / $1,311.08	Professional		$874.05	$874.05	$1,311.08