Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.77 / $1,526.41 / $1,526.41	Facility		$1,122.77	$1,526.41	$1,526.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $574.91 / $1,526.41	Professional		$574.91	$574.91	$1,526.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.94 / $941.28 / $1,775.70	Facility		$513.94	$941.28	$1,775.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $541.10 / $676.37 / $1,014.56	Facility		$541.10	$676.37	$1,014.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $439.64 / $439.64 / $676.37	Professional		$439.64	$439.64	$676.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $1,034.84 / $1,295.25	Professional		$676.37	$1,034.84	$1,295.25
United Facility/Professional Professional Modifier Low / Median / High Price $338.19 / $405.82 / $744.01	Professional		$338.19	$405.82	$744.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,176.88 / $3,212.76 / $3,212.76	Facility		$1,176.88	$3,212.76	$3,212.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,381.85 / $3,381.85 / $5,072.78	Professional		$3,381.85	$3,381.85	$5,072.78