Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.50 / $1,203.50 / $1,589.20	Facility		$1,203.50	$1,203.50	$1,589.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.13 / $482.13 / $696.00	Professional		$482.13	$482.13	$696.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.89 / $706.88 / $1,902.92	Facility		$550.89	$706.88	$1,902.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $725.00 / $1,087.50	Facility		$580.00	$725.00	$1,087.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $471.25 / $471.25 / $725.00	Professional		$471.25	$471.25	$725.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $797.50 / $1,109.25 / $1,388.38	Professional		$797.50	$1,109.25	$1,388.38
United Facility/Professional Professional Modifier Low / Median / High Price $362.50 / $435.00 / $746.75	Professional		$362.50	$435.00	$746.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,261.50 / $3,443.75 / $3,443.75	Facility		$1,261.50	$3,443.75	$3,443.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,610.50 / $3,610.50 / $5,437.50	Professional		$3,610.50	$3,610.50	$5,437.50