Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.16 / $482.16 / $1,000.48	Facility		$482.16	$482.16	$1,000.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.80 / $482.16 / $512.29	Professional		$400.80	$482.16	$512.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.97 / $587.64 / $1,582.65	Facility		$457.97	$587.64	$1,582.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $482.16 / $602.70 / $904.05	Facility		$482.16	$602.70	$904.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $391.76 / $391.76 / $602.70	Professional		$391.76	$391.76	$602.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $662.97 / $922.13 / $1,154.17	Professional		$662.97	$922.13	$1,154.17
United Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $361.62 / $904.05	Professional		$301.35	$361.62	$904.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,048.70 / $2,862.83 / $2,862.83	Facility		$1,048.70	$2,862.83	$2,862.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,001.45 / $3,001.45 / $4,520.25	Professional		$3,001.45	$3,001.45	$4,520.25