Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $588.84	Professional		$213.80	$281.84	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $691.83	Professional		$229.09	$389.05	$691.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $549.54	Professional		$204.17	$295.12	$549.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,137.96	Professional		$1,819.70	$1,819.70	$2,137.96