Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.08 / $241.08 / $500.24	Facility		$241.08	$241.08	$500.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $241.08 / $256.14	Professional		$200.40	$241.08	$256.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.98 / $293.82 / $790.88	Facility		$228.98	$293.82	$790.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $241.08 / $301.35 / $452.03	Facility		$241.08	$301.35	$452.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $195.88 / $301.35	Professional		$195.88	$195.88	$301.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $461.07 / $577.09	Professional		$331.49	$461.07	$577.09
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $310.39	Professional		$126.57	$180.81	$310.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $524.35 / $1,431.41 / $1,431.41	Facility		$524.35	$1,431.41	$1,431.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,500.72 / $1,500.72 / $2,260.13	Professional		$1,500.72	$1,500.72	$2,260.13