Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.62 / $130.13 / $157.50	Facility		$89.62	$130.13	$157.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $89.62 / $116.28	Professional		$89.40	$89.62	$116.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.20 / $114.20 / $355.70	Facility		$114.20	$114.20	$355.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.09 / $198.56 / $302.24	Professional		$136.09	$198.56	$302.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.62 / $198.00 / $374.90	Facility		$89.62	$198.00	$374.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $104.00 / $129.00	Professional		$25.00	$104.00	$129.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $185.10 / $212.80 / $280.20	Professional		$185.10	$212.80	$280.20
United Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $157.50 / $274.45	Professional		$100.16	$157.50	$274.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $217.74 / $326.41 / $1,229.45	Facility		$217.74	$326.41	$1,229.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $934.65 / $934.65 / $934.65	Professional		$934.65	$934.65	$934.65