Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $186.25 / $331.39	Facility		$142.06	$186.25	$331.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.06 / $142.06 / $179.90	Professional		$142.06	$142.06	$179.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.98 / $172.98 / $596.82	Facility		$172.98	$172.98	$596.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $303.38 / $517.77	Professional		$131.82	$303.38	$517.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $200.86 / $401.29	Facility		$139.00	$200.86	$401.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $248.00 / $273.00	Professional		$25.00	$248.00	$273.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $411.10 / $472.80	Professional		$139.19	$411.10	$472.80
United Facility/Professional Facility Modifier Low / Median / High Price $305.98 / $305.98 / $311.18	Facility		$305.98	$305.98	$311.18
United Facility/Professional Professional Modifier Low / Median / High Price $138.09 / $251.28 / $456.22	Professional		$138.09	$251.28	$456.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $325.75 / $359.96 / $1,229.45	Facility		$325.75	$359.96	$1,229.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,057.01 / $1,057.01 / $1,294.50	Professional		$1,057.01	$1,057.01	$1,294.50