Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.59 / $635.59 / $635.59	Facility		$635.59	$635.59	$635.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.34 / $635.59 / $675.32	Professional		$528.34	$635.59	$675.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $603.69 / $656.37 / $1,655.19	Facility		$603.69	$656.37	$1,655.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $635.59 / $794.49 / $945.44	Facility		$635.59	$794.49	$945.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $516.41 / $516.41 / $794.49	Professional		$516.41	$516.41	$794.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $873.94 / $1,215.57 / $1,521.45	Professional		$873.94	$1,215.57	$1,521.45
United Facility/Professional Professional Modifier Low / Median / High Price $397.25 / $476.69 / $818.32	Professional		$397.25	$476.69	$818.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,382.41 / $3,773.83 / $3,773.83	Facility		$1,382.41	$3,773.83	$3,773.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,956.56 / $3,956.56 / $5,958.68	Professional		$3,956.56	$3,956.56	$5,958.68