Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $219.86 / $456.22	Facility		$219.86	$219.86	$456.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.76 / $219.86 / $233.61	Professional		$182.76	$219.86	$233.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.83 / $382.48 / $721.49	Facility		$208.83	$382.48	$721.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $274.83 / $412.25	Facility		$219.86	$274.83	$412.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $178.64 / $274.83	Professional		$178.64	$178.64	$274.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $420.49 / $526.29	Professional		$274.83	$420.49	$526.29
United Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $164.90 / $274.83	Professional		$137.41	$164.90	$274.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $1,305.44 / $1,305.44	Facility		$478.20	$1,305.44	$1,305.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,368.65 / $1,368.65 / $2,061.23	Professional		$1,368.65	$1,368.65	$2,061.23