Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.40 / $260.20 / $343.60	Facility		$125.40	$260.20	$343.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $125.40 / $133.24	Professional		$104.24	$125.40	$133.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.11 / $152.84 / $411.90	Facility		$119.11	$152.84	$411.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.40 / $156.75 / $235.13	Facility		$125.40	$156.75	$235.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $101.89 / $156.75	Professional		$101.89	$101.89	$156.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $239.83 / $264.58	Professional		$239.83	$239.83	$264.58
United Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $156.75 / $156.75	Facility		$156.75	$156.75	$156.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $94.05 / $161.44	Professional		$78.38	$94.05	$161.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $272.75 / $744.56 / $744.56	Facility		$272.75	$744.56	$744.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $780.62 / $780.62 / $1,175.63	Professional		$780.62	$780.62	$1,175.63