Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.35 / $651.72 / $1,626.00	Professional		$437.35	$651.72	$1,626.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.49 / $388.54 / $577.41	Facility		$107.49	$388.54	$577.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $350.50 / $397.80 / $427.10	Professional		$350.50	$397.80	$427.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $592.60 / $1,121.11 / $1,121.11	Facility		$592.60	$1,121.11	$1,121.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,052.00 / $2,052.00 / $2,052.00	Professional		$2,052.00	$2,052.00	$2,052.00