Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.43 / $734.18 / $898.50	Facility		$680.43	$734.18	$898.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.13 / $387.13 / $734.18	Professional		$387.13	$387.13	$734.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.47 / $570.35 / $1,076.45	Facility		$311.47	$570.35	$1,076.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $327.92 / $455.45 / $683.18	Facility		$327.92	$455.45	$683.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $296.04 / $296.04 / $455.45	Professional		$296.04	$296.04	$455.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $627.15 / $784.96	Professional		$409.90	$627.15	$784.96
United Facility/Professional Professional Modifier Low / Median / High Price $204.95 / $245.94 / $455.45	Professional		$204.95	$245.94	$455.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $713.23 / $1,947.03 / $1,947.03	Facility		$713.23	$1,947.03	$1,947.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,049.50 / $2,049.50 / $3,074.25	Professional		$2,049.50	$2,049.50	$3,074.25