Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.24 / $607.24 / $607.24	Facility		$607.24	$607.24	$607.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.77 / $607.24 / $645.19	Professional		$504.77	$607.24	$645.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.76 / $627.09 / $1,992.77	Facility		$576.76	$627.09	$1,992.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $607.24 / $759.05 / $1,100.61	Facility		$607.24	$759.05	$1,100.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $493.38 / $759.05	Professional		$493.38	$493.38	$759.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $834.96 / $1,161.34 / $1,453.58	Professional		$834.96	$1,161.34	$1,453.58
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $781.82	Professional		$318.80	$455.43	$781.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,320.75 / $3,605.49 / $3,605.49	Facility		$1,320.75	$3,605.49	$3,605.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,780.07 / $3,780.07 / $5,692.88	Professional		$3,780.07	$3,780.07	$5,692.88