Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.82 / $593.82 / $593.82	Facility		$593.82	$593.82	$593.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.61 / $593.82 / $630.92	Professional		$493.61	$593.82	$630.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.02 / $613.23 / $1,948.29	Facility		$564.02	$613.23	$1,948.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $593.82 / $742.27 / $1,076.29	Facility		$593.82	$742.27	$1,076.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $482.48 / $482.48 / $742.27	Professional		$482.48	$482.48	$742.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $816.50 / $1,135.67 / $1,421.45	Professional		$816.50	$1,135.67	$1,421.45
United Facility/Professional Professional Modifier Low / Median / High Price $371.14 / $445.36 / $742.27	Professional		$371.14	$445.36	$742.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,291.55 / $3,525.78 / $3,525.78	Facility		$1,291.55	$3,525.78	$3,525.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,696.50 / $3,696.50 / $5,567.03	Professional		$3,696.50	$3,696.50	$5,567.03