Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $416.87 / $724.44	Facility		$288.40	$416.87	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $630.96	Professional		$30.20	$47.86	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $562.34	Professional		$223.87	$371.54	$562.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $2,238.72 / $3,981.07	Facility		$41.69	$2,238.72	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $20.89 / $85.11	Professional		$5.01	$20.89	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $100.00	Professional		$39.81	$61.66	$100.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,884.03	Professional		$1,348.96	$1,348.96	$2,884.03