Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $602.56	Facility		$213.80	$338.84	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $602.56	Professional		$199.53	$234.42	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $371.54 / $691.83	Facility		$190.55	$371.54	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $660.69	Professional		$204.17	$407.38	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $316.23 / $588.84	Facility		$218.78	$316.23	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $537.03 / $676.08	Professional		$204.17	$537.03	$676.08
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 $199.53 / $316.23 / $660.69	Professional		$199.53	$316.23	$660.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,995.26	Professional		$1,621.81	$1,621.81	$1,995.26