Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $295.12 / $524.81	Facility		$190.55	$295.12	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $524.81	Professional		$173.78	$204.17	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $323.59 / $602.56	Facility		$173.78	$323.59	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $562.34	Professional		$177.83	$354.81	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $269.15 / $512.86	Facility		$190.55	$269.15	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $457.09 / $602.56	Professional		$165.96	$457.09	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $309.03 / $831.76	Facility		$302.00	$309.03	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $575.44	Professional		$162.18	$281.84	$575.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,778.28	Professional		$1,412.54	$1,412.54	$1,778.28