Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $457.09 / $776.25	Facility		$275.42	$457.09	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $758.58	Professional		$245.47	$295.12	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $467.74 / $954.99	Facility		$263.03	$467.74	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $501.19 / $870.96	Professional		$181.97	$501.19	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $758.58	Facility		$251.19	$354.81	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $724.44 / $891.25	Professional		$162.18	$724.44	$891.25
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 $208.93 / $398.11 / $870.96	Professional		$208.93	$398.11	$870.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,570.40	Professional		$2,041.74	$2,041.74	$2,570.40