Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.65 / $354.65 / $354.65	Facility		$354.65	$354.65	$354.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.80 / $354.65 / $376.81	Professional		$294.80	$354.65	$376.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.85 / $366.24 / $923.97	Facility		$336.85	$366.24	$923.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $354.65 / $443.31 / $527.54	Facility		$354.65	$443.31	$527.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.14 / $288.14 / $443.31	Professional		$288.14	$288.14	$443.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $487.64 / $678.26 / $848.94	Professional		$487.64	$678.26	$848.94
United Facility/Professional Professional Modifier Low / Median / High Price $221.66 / $265.99 / $456.61	Professional		$221.66	$265.99	$456.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $771.36 / $2,105.71 / $2,105.71	Facility		$771.36	$2,105.71	$2,105.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,207.67 / $2,207.67 / $3,324.83	Professional		$2,207.67	$2,207.67	$3,324.83