Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.30 / $226.30 / $469.58	Facility		$226.30	$226.30	$469.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.12 / $226.30 / $240.45	Professional		$188.12	$226.30	$240.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.94 / $393.56 / $742.84	Facility		$214.94	$393.56	$742.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $226.30 / $282.88 / $424.32	Facility		$226.30	$282.88	$424.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $183.87 / $282.88	Professional		$183.87	$183.87	$282.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $432.81 / $541.72	Professional		$282.88	$432.81	$541.72
United Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $282.88	Facility		$282.88	$282.88	$282.88
United Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $169.73 / $291.37	Professional		$141.44	$169.73	$291.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $492.21 / $1,343.68 / $1,343.68	Facility		$492.21	$1,343.68	$1,343.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,408.74 / $1,408.74 / $2,121.60	Professional		$1,408.74	$1,408.74	$2,121.60