Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.15 / $192.30 / $314.69	Facility		$165.15	$192.30	$314.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.15 / $165.15 / $192.30	Professional		$165.15	$165.15	$192.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.03 / $208.03 / $575.51	Facility		$208.03	$208.03	$575.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.48 / $321.22 / $528.74	Professional		$165.48	$321.22	$528.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.15 / $254.57 / $504.60	Facility		$165.15	$254.57	$504.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $225.00 / $259.00	Professional		$34.00	$225.00	$259.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.70 / $381.50 / $523.00	Professional		$197.70	$381.50	$523.00
United Facility/Professional Facility Modifier Low / Median / High Price $272.32 / $272.32 / $272.32	Facility		$272.32	$272.32	$272.32
United Facility/Professional Professional Modifier Low / Median / High Price $171.31 / $232.08 / $521.04	Professional		$171.31	$232.08	$521.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,336.48 / $1,336.48 / $1,678.56	Facility		$1,336.48	$1,336.48	$1,678.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,227.50 / $1,227.50 / $1,551.15	Professional		$1,227.50	$1,227.50	$1,551.15