Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.87 / $507.87 / $507.87	Facility		$507.87	$507.87	$507.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.17 / $507.87 / $539.61	Professional		$422.17	$507.87	$539.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.39 / $524.48 / $1,666.27	Facility		$482.39	$524.48	$1,666.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $507.87 / $634.84 / $920.52	Facility		$507.87	$634.84	$920.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $412.65 / $412.65 / $634.84	Professional		$412.65	$412.65	$634.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $698.32 / $971.31 / $1,215.72	Professional		$698.32	$971.31	$1,215.72
United Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $380.90 / $653.89	Professional		$317.42	$380.90	$653.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,104.61 / $3,015.49 / $3,015.49	Facility		$1,104.61	$3,015.49	$3,015.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,161.50 / $3,161.50 / $4,761.30	Professional		$3,161.50	$3,161.50	$4,761.30