Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $199.40 / $263.14	Facility		$108.39	$199.40	$263.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $108.39 / $171.12	Professional		$108.10	$108.39	$171.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.75 / $138.75 / $532.87	Facility		$138.75	$138.75	$532.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.95 / $310.69 / $505.35	Professional		$205.95	$310.69	$505.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $354.57 / $536.00	Facility		$108.39	$354.57	$536.00
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 $308.39 / $354.70 / $526.90	Professional		$308.39	$354.70	$526.90
United Facility/Professional Professional Modifier Low / Median / High Price $130.18 / $244.78 / $370.50	Professional		$130.18	$244.78	$370.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $275.88 / $606.19 / $1,229.45	Facility		$275.88	$606.19	$1,229.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,841.31 / $1,841.31 / $1,841.31	Professional		$1,841.31	$1,841.31	$1,841.31