Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $996.00	Facility		$480.00	$480.00	$996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $480.00 / $480.00	Professional		$399.00	$480.00	$480.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.91 / $835.30 / $1,575.53	Facility		$455.91	$835.30	$1,575.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $301.35 / $714.00	Facility		$301.35	$301.35	$714.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $600.00 / $600.00	Professional		$301.35	$600.00	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $918.00 / $1,149.00	Professional		$600.00	$918.00	$1,149.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $180.81 / $539.79	Professional		$150.68	$180.81	$539.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $2,850.00 / $2,850.00	Facility		$1,044.00	$2,850.00	$2,850.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,988.00 / $2,988.00 / $4,500.00	Professional		$2,988.00	$2,988.00	$4,500.00