Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.94 / $773.84 / $1,021.86	Facility		$372.94	$773.84	$1,021.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $372.94 / $396.24	Professional		$310.00	$372.94	$396.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.22 / $648.87 / $1,224.13	Facility		$354.22	$648.87	$1,224.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $372.94 / $466.17 / $699.26	Facility		$372.94	$466.17	$699.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $303.01 / $303.01 / $466.17	Professional		$303.01	$303.01	$466.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $713.24 / $892.72	Professional		$466.17	$713.24	$892.72
United Facility/Professional Professional Modifier Low / Median / High Price $233.09 / $279.70 / $466.17	Professional		$233.09	$279.70	$466.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $811.14 / $2,214.31 / $2,214.31	Facility		$811.14	$2,214.31	$2,214.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,321.53 / $2,321.53 / $3,496.28	Professional		$2,321.53	$2,321.53	$3,496.28