Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $153.97 / $263.14	Facility		$108.39	$153.97	$263.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $108.39 / $140.66	Professional		$108.10	$108.39	$140.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.75 / $138.75 / $423.61	Facility		$138.75	$138.75	$423.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.96 / $238.32 / $403.11	Professional		$147.96	$238.32	$403.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $202.88 / $386.64	Facility		$108.39	$202.88	$386.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $178.00 / $216.00	Professional		$38.00	$178.00	$216.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.80 / $307.80 / $354.00	Professional		$175.80	$307.80	$354.00
United Facility/Professional Facility Modifier Low / Median / High Price $584.28 / $584.28 / $584.28	Facility		$584.28	$584.28	$584.28
United Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $177.76 / $334.57	Professional		$124.49	$177.76	$334.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $264.73 / $294.51 / $1,229.45	Facility		$264.73	$294.51	$1,229.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $906.00 / $906.00 / $1,047.30	Professional		$906.00	$906.00	$1,047.30