Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $467.92 / $1,319.98	Facility		$467.92	$467.92	$1,319.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.96 / $467.92 / $497.17	Professional		$388.96	$467.92	$497.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.44 / $814.10 / $1,535.50	Facility		$444.44	$814.10	$1,535.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $584.90 / $877.35	Facility		$467.92	$584.90	$877.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $584.90	Professional		$380.19	$380.19	$584.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $894.90 / $1,120.08	Professional		$584.90	$894.90	$1,120.08
United Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $350.94 / $602.45	Professional		$292.45	$350.94	$602.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,017.73 / $2,778.28 / $2,778.28	Facility		$1,017.73	$2,778.28	$2,778.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,924.50 / $2,924.50 / $4,386.75	Professional		$2,924.50	$2,924.50	$4,386.75