Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.22 / $524.45 / $810.22	Facility		$499.22	$524.45	$810.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.05 / $524.45 / $524.45	Professional		$459.05	$524.45	$524.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.79 / $626.79 / $704.70	Facility		$626.79	$626.79	$704.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.02 / $753.13 / $1,353.99	Professional		$460.02	$753.13	$1,353.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.45 / $679.62 / $1,338.92	Facility		$524.45	$679.62	$1,338.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $376.00 / $656.00	Professional		$280.00	$376.00	$656.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $344.95 / $470.64 / $915.40	Professional		$344.95	$470.64	$915.40
United Facility/Professional Professional Modifier Low / Median / High Price $454.80 / $736.31 / $1,441.92	Professional		$454.80	$736.31	$1,441.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,192.23 / $1,203.68 / $5,563.56	Facility		$1,192.23	$1,203.68	$5,563.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,419.43 / $3,419.43 / $4,662.08	Professional		$3,419.43	$3,419.43	$4,662.08