Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.59 / $241.01 / $385.89	Facility		$169.59	$241.01	$385.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.59 / $169.59 / $214.67	Professional		$169.59	$169.59	$214.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.54 / $206.54 / $722.03	Facility		$206.54	$206.54	$722.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.79 / $366.53 / $622.23	Professional		$202.79	$366.53	$622.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.59 / $308.77 / $582.27	Facility		$169.59	$308.77	$582.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $275.00 / $317.00	Professional		$43.00	$275.00	$317.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.20 / $488.00 / $561.20	Professional		$241.20	$488.00	$561.20
United Facility/Professional Professional Modifier Low / Median / High Price $197.58 / $271.82 / $542.79	Professional		$197.58	$271.82	$542.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $387.21 / $422.38 / $1,229.45	Facility		$387.21	$422.38	$1,229.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,257.98 / $1,257.98 / $1,527.83	Professional		$1,257.98	$1,257.98	$1,527.83