Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.36 / $173.34 / $285.12	Facility		$164.36	$173.34	$285.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $173.34 / $210.33	Professional		$139.72	$173.34	$210.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.02 / $211.02 / $495.58	Facility		$211.02	$211.02	$495.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $286.98 / $490.06	Professional		$116.52	$286.98	$490.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $190.67 / $397.17	Facility		$121.00	$190.67	$397.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $204.00 / $235.00	Professional		$31.00	$204.00	$235.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $332.90 / $549.90	Professional		$120.60	$332.90	$549.90
United Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $226.43 / $515.04	Professional		$133.38	$226.43	$515.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $333.47 / $364.27 / $1,229.45	Facility		$333.47	$364.27	$1,229.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,288.78 / $1,288.78 / $1,450.28	Professional		$1,288.78	$1,288.78	$1,450.28