Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $223.87 / $302.00	Facility		$107.15	$223.87	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $302.00	Professional		$102.33	$125.89	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $194.98 / $426.58	Facility		$97.72	$194.98	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $407.38	Professional		$151.36	$239.88	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $204.17 / $371.54	Facility		$107.15	$204.17	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $389.05	Professional		$177.83	$338.84	$389.05
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 $128.82 / $181.97 / $331.13	Professional		$128.82	$181.97	$331.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,047.13	Professional		$912.01	$912.01	$1,047.13