Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $94.23 / $428.13	Facility		$67.73	$94.23	$428.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $67.73 / $115.33	Professional		$67.33	$67.73	$115.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $108.23 / $161.72	Professional		$71.78	$108.23	$161.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $87.40 / $173.58	Facility		$67.73	$87.40	$173.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $83.78 / $178.43	Professional		$83.78	$83.78	$178.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $133.19 / $182.90	Professional		$93.90	$133.19	$182.90
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $93.83 / $190.72	Professional		$66.56	$93.83	$190.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $178.25 / $1,300.00	Facility		$55.00	$178.25	$1,300.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $501.12 / $501.12 / $607.73	Professional		$501.12	$501.12	$607.73