Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.72 / $1,306.67 / $1,725.43	Facility		$629.72	$1,306.67	$1,725.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.45 / $629.72 / $669.08	Professional		$523.45	$629.72	$669.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.12 / $767.48 / $2,066.61	Facility		$598.12	$767.48	$2,066.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $629.72 / $787.15 / $1,180.73	Facility		$629.72	$787.15	$1,180.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $511.65 / $511.65 / $787.15	Professional		$511.65	$511.65	$787.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $865.87 / $1,204.33 / $1,507.39	Professional		$865.87	$1,204.33	$1,507.39
United Facility/Professional Professional Modifier Low / Median / High Price $393.58 / $472.29 / $865.87	Professional		$393.58	$472.29	$865.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,369.64 / $3,738.96 / $3,738.96	Facility		$1,369.64	$3,738.96	$3,738.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,920.01 / $3,920.01 / $5,903.63	Professional		$3,920.01	$3,920.01	$5,903.63