Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.35 / $800.35 / $1,056.84	Facility		$800.35	$800.35	$1,056.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $176.21 / $176.21	Professional		$176.21	$176.21	$176.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.35 / $671.03 / $1,265.94	Facility		$366.35	$671.03	$1,265.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $385.71 / $482.14 / $723.21	Facility		$385.71	$482.14	$723.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $292.35 / $292.35 / $482.14	Professional		$292.35	$292.35	$482.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $482.14 / $737.67 / $923.30	Professional		$482.14	$737.67	$923.30
United Facility/Professional Facility Modifier Low / Median / High Price $578.57 / $578.57 / $578.57	Facility		$578.57	$578.57	$578.57
United Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $124.39 / $383.52	Professional		$103.66	$124.39	$383.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $838.92 / $2,290.17 / $2,290.17	Facility		$838.92	$2,290.17	$2,290.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,401.06 / $2,401.06 / $3,616.05	Professional		$2,401.06	$2,401.06	$3,616.05