Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.54 / $486.54 / $486.54	Facility		$486.54	$486.54	$486.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.43 / $486.54 / $516.94	Professional		$404.43	$486.54	$516.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.12 / $502.44 / $1,596.88	Facility		$462.12	$502.44	$1,596.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $486.54 / $608.16 / $881.85	Facility		$486.54	$608.16	$881.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $395.31 / $395.31 / $608.16	Professional		$395.31	$395.31	$608.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $668.99 / $930.50 / $1,164.65	Professional		$668.99	$930.50	$1,164.65
United Facility/Professional Professional Modifier Low / Median / High Price $304.08 / $364.90 / $608.16	Professional		$304.08	$364.90	$608.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,058.22 / $2,888.81 / $2,888.81	Facility		$1,058.22	$2,888.81	$2,888.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,028.69 / $3,028.69 / $4,561.28	Professional		$3,028.69	$3,028.69	$4,561.28