Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.82 / $1,010.82 / $1,010.82	Facility		$1,010.82	$1,010.82	$1,010.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.25 / $1,010.82 / $1,074.00	Professional		$840.25	$1,010.82	$1,074.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $960.09 / $1,043.85 / $3,317.42	Facility		$960.09	$1,043.85	$3,317.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,010.82 / $1,263.53 / $1,832.12	Facility		$1,010.82	$1,263.53	$1,832.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $821.29 / $821.29 / $1,263.53	Professional		$821.29	$821.29	$1,263.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.88 / $1,933.20 / $2,419.66	Professional		$1,389.88	$1,933.20	$2,419.66
United Facility/Professional Professional Modifier Low / Median / High Price $631.77 / $758.12 / $1,301.44	Professional		$631.77	$758.12	$1,301.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,198.54 / $6,001.77 / $6,001.77	Facility		$2,198.54	$6,001.77	$6,001.77
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,292.38 / $6,292.38 / $9,476.48	Professional		$6,292.38	$6,292.38	$9,476.48