Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.79 / $857.57 / $857.57	Facility		$630.79	$857.57	$857.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $857.57 / $857.57	Professional		$380.00	$857.57	$857.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.74 / $528.92 / $997.27	Facility		$288.74	$528.92	$997.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $380.00 / $570.00	Facility		$304.00	$380.00	$570.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $247.00 / $380.00	Professional		$247.00	$247.00	$380.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $581.40 / $727.70	Professional		$380.00	$581.40	$727.70
United Facility/Professional Facility Modifier Low / Median / High Price $228.00 / $448.40 / $456.00	Facility		$228.00	$448.40	$456.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $228.00 / $391.40	Professional		$190.00	$228.00	$391.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $661.20 / $1,805.00 / $1,805.00	Facility		$661.20	$1,805.00	$1,805.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,900.00 / $1,900.00 / $2,850.00	Professional		$1,900.00	$1,900.00	$2,850.00