Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.63 / $626.33 / $703.04	Facility		$394.63	$626.33	$703.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.88 / $626.33 / $626.33	Professional		$515.88	$626.33	$626.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $712.84 / $712.84 / $1,249.55	Facility		$712.84	$712.84	$1,249.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.01 / $693.74 / $1,509.65	Professional		$250.01	$693.74	$1,509.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $577.64 / $1,247.58	Facility		$247.00	$577.64	$1,247.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $470.00 / $578.00	Professional		$108.00	$470.00	$578.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.66 / $798.23 / $1,121.41	Professional		$113.66	$798.23	$1,121.41
United Facility/Professional Facility Modifier Low / Median / High Price $440.48 / $440.48 / $447.98	Facility		$440.48	$440.48	$447.98
United Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $583.19 / $1,369.82	Professional		$342.85	$583.19	$1,369.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,602.32 / $4,602.32 / $5,761.44	Facility		$4,602.32	$4,602.32	$5,761.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,187.89 / $4,187.89 / $5,361.23	Professional		$4,187.89	$4,187.89	$5,361.23