Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $426.58 / $724.44	Facility		$257.04	$426.58	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $724.44	Professional		$213.80	$275.42	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $436.52 / $1,023.29	Facility		$229.09	$436.52	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $870.96	Professional		$263.03	$524.81	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $398.11 / $707.95	Facility		$257.04	$398.11	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $741.31 / $851.14	Professional		$251.19	$741.31	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,000.00 / $2,884.03	Facility		$275.42	$1,000.00	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $812.83	Professional		$263.03	$380.19	$812.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,344.23	Professional		$1,905.46	$1,905.46	$2,344.23