Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.30 / $422.30 / $876.26	Facility		$422.30	$422.30	$876.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.03 / $422.30 / $448.69	Professional		$351.03	$422.30	$448.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.11 / $514.67 / $1,386.04	Facility		$401.11	$514.67	$1,386.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $422.30 / $527.87 / $791.81	Facility		$422.30	$527.87	$791.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $343.12 / $343.12 / $527.87	Professional		$343.12	$343.12	$527.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $580.66 / $807.64 / $1,010.87	Professional		$580.66	$807.64	$1,010.87
United Facility/Professional Professional Modifier Low / Median / High Price $263.94 / $316.72 / $543.71	Professional		$263.94	$316.72	$543.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $918.49 / $2,507.38 / $2,507.38	Facility		$918.49	$2,507.38	$2,507.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,628.79 / $2,628.79 / $3,959.03	Professional		$2,628.79	$2,628.79	$3,959.03