Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.33 / $1,242.33 / $1,640.47	Facility		$1,242.33	$1,242.33	$1,640.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.13 / $636.13 / $636.13	Professional		$636.13	$636.13	$636.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.66 / $1,041.96 / $1,964.30	Facility		$568.66	$1,041.96	$1,964.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $598.71 / $748.39 / $1,122.58	Facility		$598.71	$748.39	$1,122.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $486.45 / $486.45 / $748.39	Professional		$486.45	$486.45	$748.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $748.39 / $1,145.04 / $1,433.17	Professional		$748.39	$1,145.04	$1,433.17
United Facility/Professional Professional Modifier Low / Median / High Price $374.20 / $449.03 / $770.84	Professional		$374.20	$449.03	$770.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,302.20 / $3,554.85 / $3,554.85	Facility		$1,302.20	$3,554.85	$3,554.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,726.98 / $3,726.98 / $5,612.93	Professional		$3,726.98	$3,726.98	$5,612.93