Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.42 / $333.42 / $333.42	Facility		$333.42	$333.42	$333.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.16 / $333.42 / $354.26	Professional		$277.16	$333.42	$354.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.69 / $344.33 / $1,094.24	Facility		$316.69	$344.33	$1,094.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $333.42 / $416.78 / $604.33	Facility		$333.42	$416.78	$604.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.91 / $270.91 / $416.78	Professional		$270.91	$270.91	$416.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $458.46 / $637.66 / $798.13	Professional		$458.46	$637.66	$798.13
United Facility/Professional Professional Modifier Low / Median / High Price $208.39 / $250.07 / $429.28	Professional		$208.39	$250.07	$429.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $725.20 / $1,979.71 / $1,979.71	Facility		$725.20	$1,979.71	$1,979.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,075.56 / $2,075.56 / $3,125.85	Professional		$2,075.56	$2,075.56	$3,125.85