Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.89 / $591.17 / $780.63	Facility		$284.89	$591.17	$780.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $284.89 / $302.70	Professional		$284.89	$284.89	$302.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.60 / $495.69 / $935.00	Facility		$270.60	$495.69	$935.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $284.89 / $356.13 / $534.20	Facility		$284.89	$356.13	$534.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.48 / $231.48 / $356.13	Professional		$231.48	$231.48	$356.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $544.88 / $681.99	Professional		$356.13	$544.88	$681.99
United Facility/Professional Professional Modifier Low / Median / High Price $178.07 / $213.68 / $366.81	Professional		$178.07	$213.68	$366.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $619.66 / $1,691.62 / $1,691.62	Facility		$619.66	$1,691.62	$1,691.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,773.53 / $1,773.53 / $2,670.98	Professional		$1,773.53	$1,773.53	$2,670.98