Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,187.76 / $2,344.23	Facility		$562.34	$2,187.76	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $676.08	Professional		$467.74	$562.34	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,174.90	Professional		$1,071.52	$1,071.52	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $831.76 / $851.14	Facility		$416.87	$831.76	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $812.83	Professional		$295.12	$416.87	$812.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $5,248.07	Professional		$3,467.37	$3,467.37	$5,248.07