Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $138.04 / $190.55	Facility		$67.61	$138.04	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $190.55	Professional		$63.10	$77.62	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $147.91 / $281.84	Facility		$77.62	$147.91	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $263.03	Professional		$109.65	$162.18	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $134.90 / $281.84	Facility		$67.61	$134.90	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $234.42	Professional		$158.49	$162.18	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,071.52	Facility		$407.38	$407.38	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $204.17	Professional		$83.18	$138.04	$204.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $794.33	Professional		$741.31	$741.31	$794.33