Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.20 / $300.20 / $622.91	Facility		$300.20	$300.20	$622.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.54 / $300.20 / $318.95	Professional		$249.54	$300.20	$318.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.13 / $522.17 / $984.82	Facility		$285.13	$522.17	$984.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $300.20 / $375.25 / $562.88	Facility		$300.20	$375.25	$562.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $243.91 / $375.25	Professional		$243.91	$243.91	$375.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $574.13 / $718.60	Professional		$375.25	$574.13	$718.60
United Facility/Professional Professional Modifier Low / Median / High Price $187.63 / $225.15 / $562.88	Professional		$187.63	$225.15	$562.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $652.94 / $1,782.44 / $1,782.44	Facility		$652.94	$1,782.44	$1,782.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,868.75 / $1,868.75 / $2,814.38	Professional		$1,868.75	$1,868.75	$2,814.38