Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $87.37 / $146.93	Facility		$61.62	$87.37	$146.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $61.62 / $79.81	Professional		$61.60	$61.62	$79.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $79.59 / $255.78	Facility		$79.59	$79.59	$255.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $134.69 / $228.70	Professional		$82.58	$134.69	$228.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $112.26 / $214.62	Facility		$61.62	$112.26	$214.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $106.00 / $121.00	Professional		$15.00	$106.00	$121.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $175.50 / $201.80	Professional		$98.80	$175.50	$201.80
United Facility/Professional Facility Modifier Low / Median / High Price $584.28 / $584.28 / $884.18	Facility		$584.28	$584.28	$884.18
United Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $100.85 / $188.64	Professional		$68.80	$100.85	$188.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $150.77 / $159.27 / $1,229.45	Facility		$150.77	$159.27	$1,229.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $462.67 / $462.67 / $605.63	Professional		$462.67	$462.67	$605.63