Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $89.13	Professional		$48.98	$61.66	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $107.15 / $190.55	Facility		$46.77	$107.15	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $204.17	Professional		$81.28	$125.89	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $72.44 / $125.89	Facility		$56.23	$72.44	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $93.33 / $131.83	Professional		$29.51	$93.33	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,071.52	Facility		$407.38	$407.38	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $251.19	Professional		$85.11	$151.36	$251.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24