Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $131.83 / $169.82	Facility		$60.26	$131.83	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $169.82	Professional		$56.23	$67.61	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $239.88	Facility		$60.26	$107.15	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $218.78	Professional		$61.66	$128.82	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $93.33 / $169.82	Facility		$60.26	$93.33	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $223.87	Professional		$58.88	$85.11	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,000.00 / $2,884.03	Facility		$588.84	$1,000.00	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $186.21	Professional		$57.54	$89.13	$186.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $588.84	Professional		$446.68	$446.68	$588.84