Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.29 / $149.13 / $217.71	Facility		$96.29	$149.13	$217.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $96.29 / $126.49	Professional		$96.14	$96.29	$126.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.28 / $122.28 / $383.65	Facility		$122.28	$122.28	$383.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $225.46 / $372.85	Professional		$156.94	$225.46	$372.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.29 / $227.00 / $393.72	Facility		$96.29	$227.00	$393.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $140.00 / $179.00	Professional		$39.00	$140.00	$179.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $227.70 / $296.10 / $305.70	Professional		$227.70	$296.10	$305.70
United Facility/Professional Professional Modifier Low / Median / High Price $115.05 / $189.40 / $293.70	Professional		$115.05	$189.40	$293.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $233.15 / $368.13 / $1,229.45	Facility		$233.15	$368.13	$1,229.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,062.47 / $1,062.47 / $1,062.47	Professional		$1,062.47	$1,062.47	$1,062.47