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 / $537.03	Facility		$97.72	$194.98	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $501.19	Professional		$177.83	$302.00	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $218.78 / $467.74	Facility		$107.15	$218.78	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $575.44	Professional		$338.84	$389.05	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $309.03 / $831.76	Facility		$239.88	$309.03	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $371.54	Professional		$138.04	$251.19	$371.54
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 $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09