Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.16 / $1,043.16 / $2,523.02	Facility		$1,043.16	$1,043.16	$2,523.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.46 / $1,043.16 / $1,043.16	Professional		$743.46	$1,043.16	$1,043.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.81 / $1,271.35 / $3,423.29	Facility		$990.81	$1,271.35	$3,423.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,043.16 / $1,117.98 / $2,068.26	Facility		$1,043.16	$1,117.98	$2,068.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $847.57 / $847.57 / $1,117.98	Professional		$847.57	$847.57	$1,117.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,995.04 / $2,497.06	Professional		$1,303.95	$1,995.04	$2,497.06
United Facility/Professional Professional Modifier Low / Median / High Price $558.99 / $670.79 / $1,303.95	Professional		$558.99	$670.79	$1,303.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,268.87 / $6,193.76 / $6,193.76	Facility		$2,268.87	$6,193.76	$6,193.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,493.67 / $6,493.67 / $9,779.62	Professional		$6,493.67	$6,493.67	$9,779.62