Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.09 / $56.21	Facility		$27.09	$27.09	$56.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $27.09 / $28.78	Professional		$22.52	$27.09	$28.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $27.97 / $88.96	Facility		$25.73	$27.97	$88.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $33.86 / $50.79	Facility		$27.09	$33.86	$50.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $22.01 / $33.86	Professional		$22.01	$22.01	$33.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $40.63 / $57.16	Professional		$33.86	$40.63	$57.16
United Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $20.32 / $34.88	Professional		$16.93	$20.32	$34.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $58.92 / $160.84 / $160.84	Facility		$58.92	$160.84	$160.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $169.30 / $169.30 / $253.95	Professional		$169.30	$169.30	$253.95