Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,162.28	Facility		$1,258.93	$1,819.70	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $2,630.27	Professional		$30.20	$47.86	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $2,818.38	Professional		$1,122.02	$1,862.09	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $2,238.72 / $3,981.07	Facility		$33.11	$2,238.72	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $89.13	Professional		$20.89	$32.36	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $100.00	Professional		$39.81	$61.66	$100.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $12,589.25	Professional		$5,888.44	$5,888.44	$12,589.25