Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.84 / $326.62 / $475.56	Facility		$172.84	$326.62	$475.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.60 / $172.84 / $249.99	Professional		$161.60	$172.84	$249.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $159.57 / $159.57	Facility		$159.57	$159.57	$159.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.07 / $307.13 / $537.12	Professional		$173.07	$307.13	$537.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $310.22 / $337.15	Facility		$172.73	$310.22	$337.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $316.08 / $706.74	Professional		$52.00	$316.08	$706.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $541.79 / $541.79 / $541.79	Professional		$541.79	$541.79	$541.79
United Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $267.50 / $486.41	Professional		$198.86	$267.50	$486.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $287.07 / $763.83 / $763.83	Facility		$287.07	$763.83	$763.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,279.19 / $1,279.19 / $1,279.19	Professional		$1,279.19	$1,279.19	$1,279.19