Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.86 / $1,012.86 / $1,012.86	Facility		$1,012.86	$1,012.86	$1,012.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.94 / $1,012.86 / $1,076.16	Professional		$841.94	$1,012.86	$1,076.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $962.03 / $1,045.97 / $2,637.80	Facility		$962.03	$1,045.97	$2,637.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,012.86 / $1,266.07 / $1,835.80	Facility		$1,012.86	$1,266.07	$1,835.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,266.07 / $1,266.07 / $2,916.60	Professional		$1,266.07	$1,266.07	$2,916.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.68 / $1,937.09 / $2,424.52	Professional		$1,392.68	$1,937.09	$2,424.52
United Facility/Professional Professional Modifier Low / Median / High Price $633.04 / $759.64 / $1,304.05	Professional		$633.04	$759.64	$1,304.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,202.96 / $6,013.83 / $6,013.83	Facility		$2,202.96	$6,013.83	$6,013.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,305.03 / $6,305.03 / $9,495.53	Professional		$6,305.03	$6,305.03	$9,495.53