Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.86 / $1,068.86 / $1,068.86	Facility		$1,068.86	$1,068.86	$1,068.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.50 / $1,068.86 / $1,135.68	Professional		$888.50	$1,068.86	$1,135.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,015.23 / $1,103.81 / $3,507.81	Facility		$1,015.23	$1,103.81	$3,507.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,068.86 / $1,336.09 / $1,937.33	Facility		$1,068.86	$1,336.09	$1,937.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $868.46 / $868.46 / $1,336.09	Professional		$868.46	$868.46	$1,336.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,469.70 / $2,044.22 / $2,558.61	Professional		$1,469.70	$2,044.22	$2,558.61
United Facility/Professional Facility Modifier Low / Median / High Price $801.65 / $1,576.59 / $1,603.31	Facility		$801.65	$1,576.59	$1,603.31
United Facility/Professional Professional Modifier Low / Median / High Price $668.05 / $801.65 / $1,376.17	Professional		$668.05	$801.65	$1,376.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,324.80 / $6,346.43 / $6,346.43	Facility		$2,324.80	$6,346.43	$6,346.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,653.73 / $6,653.73 / $10,020.68	Professional		$6,653.73	$6,653.73	$10,020.68