Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $739.61 / $1,144.77	Facility		$707.88	$739.61	$1,144.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.20 / $739.61 / $739.61	Professional		$645.20	$739.61	$739.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.16 / $890.16 / $911.21	Facility		$890.16	$890.16	$911.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.78 / $1,067.74 / $1,906.54	Professional		$653.78	$1,067.74	$1,906.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $739.61 / $965.33 / $1,896.52	Facility		$739.61	$965.33	$1,896.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $566.00 / $926.00	Professional		$360.00	$566.00	$926.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $450.42 / $708.52 / $1,286.90	Professional		$450.42	$708.52	$1,286.90
United Facility/Professional Professional Modifier Low / Median / High Price $656.13 / $917.55 / $1,995.60	Professional		$656.13	$917.55	$1,995.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,702.89 / $1,707.73 / $5,563.56	Facility		$1,702.89	$1,707.73	$5,563.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,811.54 / $4,811.54 / $6,617.55	Professional		$4,811.54	$4,811.54	$6,617.55