Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $691.86	Facility		$416.78	$416.78	$691.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.69 / $344.33 / $868.03	Facility		$316.69	$344.33	$868.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $681.94	Facility		$416.78	$416.78	$681.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $458.46 / $637.66 / $798.13	Professional		$458.46	$637.66	$798.13
United Facility/Professional Professional Modifier Low / Median / High Price $182.22 / $250.10 / $439.90	Professional		$182.22	$250.10	$439.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $725.20 / $1,979.71 / $1,979.71	Facility		$725.20	$1,979.71	$1,979.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,075.56 / $2,075.56 / $3,125.85	Professional		$2,075.56	$2,075.56	$3,125.85