Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.23 / $807.66 / $1,066.49	Facility		$389.23	$807.66	$1,066.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.55 / $389.23 / $413.56	Professional		$323.55	$389.23	$413.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.70 / $474.38 / $1,277.51	Facility		$369.70	$474.38	$1,277.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $389.23 / $486.54 / $729.81	Facility		$389.23	$486.54	$729.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.25 / $316.25 / $486.54	Professional		$316.25	$316.25	$486.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $744.41 / $931.72	Professional		$486.54	$744.41	$931.72
United Facility/Professional Professional Modifier Low / Median / High Price $243.27 / $291.92 / $501.14	Professional		$243.27	$291.92	$501.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $846.58 / $2,311.07 / $2,311.07	Facility		$846.58	$2,311.07	$2,311.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,422.96 / $2,422.96 / $3,649.05	Professional		$2,422.96	$2,422.96	$3,649.05