Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $173.78 / $257.04	Facility		$91.20	$173.78	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $257.04	Professional		$85.11	$104.71	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $162.18 / $363.08	Facility		$81.28	$162.18	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $338.84	Professional		$144.54	$204.17	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $177.83 / $323.59	Facility		$91.20	$177.83	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $309.03	Professional		$186.21	$275.42	$309.03
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 $112.20 / $169.82 / $281.84	Professional		$112.20	$169.82	$281.84
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 $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96