Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.24 / $607.24 / $1,260.02	Facility		$607.24	$607.24	$1,260.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.77 / $607.24 / $645.19	Professional		$504.77	$607.24	$645.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.76 / $1,056.41 / $1,992.77	Facility		$576.76	$1,056.41	$1,992.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $607.24 / $759.05 / $1,138.58	Facility		$607.24	$759.05	$1,138.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $493.38 / $759.05	Professional		$493.38	$493.38	$759.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $1,161.34 / $1,453.58	Professional		$759.05	$1,161.34	$1,453.58
United Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $759.05	Facility		$759.05	$759.05	$759.05
United Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $455.43 / $781.82	Professional		$379.53	$455.43	$781.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,320.75 / $3,605.49 / $3,605.49	Facility		$1,320.75	$3,605.49	$3,605.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,795.25 / $3,795.25 / $5,692.88	Professional		$3,795.25	$3,795.25	$5,692.88