Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $153.60 / $318.72	Facility		$153.60	$153.60	$318.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $153.60 / $163.19	Professional		$127.68	$153.60	$163.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.20 / $291.77 / $1,007.95	Facility		$187.20	$291.77	$1,007.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $384.00 / $456.96	Facility		$153.60	$384.00	$456.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $384.00	Professional		$124.80	$124.80	$384.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $422.40 / $587.52 / $735.36	Professional		$422.40	$587.52	$735.36
United Facility/Professional Facility Modifier Low / Median / High Price $460.80 / $460.80 / $460.80	Facility		$460.80	$460.80	$460.80
United Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $115.20 / $307.20	Professional		$96.00	$115.20	$307.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $668.16 / $1,824.00 / $1,824.00	Facility		$668.16	$1,824.00	$1,824.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,912.32 / $1,912.32 / $2,880.00	Professional		$1,912.32	$1,912.32	$2,880.00