Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $996.00	Facility		$480.00	$480.00	$996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $480.00 / $510.00	Professional		$399.00	$480.00	$510.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.91 / $585.00 / $1,575.53	Facility		$455.91	$585.00	$1,575.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $600.00 / $900.00	Facility		$480.00	$600.00	$900.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $600.00	Professional		$390.00	$390.00	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $918.00 / $1,149.00	Professional		$660.00	$918.00	$1,149.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $360.00 / $618.00	Professional		$300.00	$360.00	$618.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $2,850.00 / $2,850.00	Facility		$1,044.00	$2,850.00	$2,850.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,988.00 / $2,988.00 / $4,500.00	Professional		$2,988.00	$2,988.00	$4,500.00