Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.37 / $559.80 / $676.33	Facility		$397.37	$559.80	$676.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.54 / $209.54 / $397.37	Professional		$209.54	$209.54	$397.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.58 / $566.98 / $1,069.33	Facility		$309.58	$566.98	$1,069.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $246.52 / $246.52 / $484.84	Facility		$246.52	$246.52	$484.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $160.24 / $246.52	Professional		$160.24	$160.24	$246.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $623.37 / $780.23	Professional		$407.43	$623.37	$780.23
United Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $147.91 / $407.43	Professional		$123.26	$147.91	$407.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $708.93 / $1,935.29 / $1,935.29	Facility		$708.93	$1,935.29	$1,935.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,029.00 / $2,029.00 / $3,055.73	Professional		$2,029.00	$2,029.00	$3,055.73