Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.40 / $208.40 / $208.40	Facility		$208.40	$208.40	$208.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $208.40 / $221.43	Professional		$173.23	$208.40	$221.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.95 / $215.22 / $684.12	Facility		$197.95	$215.22	$684.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.40 / $260.50 / $377.73	Facility		$208.40	$260.50	$377.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $169.33 / $260.50	Professional		$169.33	$169.33	$260.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.55 / $398.56 / $498.86	Professional		$286.55	$398.56	$498.86
United Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $156.30 / $268.32	Professional		$130.25	$156.30	$268.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $453.27 / $1,237.38 / $1,237.38	Facility		$453.27	$1,237.38	$1,237.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,297.29 / $1,297.29 / $1,953.75	Professional		$1,297.29	$1,297.29	$1,953.75