Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $148.16 / $307.43	Facility		$148.16	$148.16	$307.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $148.16 / $157.41	Professional		$123.16	$148.16	$157.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $257.72 / $486.63	Facility		$140.72	$257.72	$486.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $185.20 / $277.80	Facility		$148.16	$185.20	$277.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $120.38 / $185.20	Professional		$120.38	$120.38	$185.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $283.36 / $354.66	Professional		$185.20	$283.36	$354.66
United Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $111.12 / $203.72	Professional		$92.60	$111.12	$203.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $322.25 / $879.70 / $879.70	Facility		$322.25	$879.70	$879.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $922.30 / $922.30 / $1,389.00	Professional		$922.30	$922.30	$1,389.00