Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.34 / $311.37 / $519.65	Facility		$228.34	$311.37	$519.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.34 / $228.34 / $287.32	Professional		$228.34	$228.34	$287.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.01 / $277.01 / $995.14	Facility		$277.01	$277.01	$995.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.05 / $493.93 / $829.84	Professional		$237.05	$493.93	$829.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $228.34 / $360.00 / $701.71	Facility		$228.34	$360.00	$701.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $390.00 / $428.00	Professional		$38.00	$390.00	$428.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $647.50 / $744.60	Professional		$261.80	$647.50	$744.60
United Facility/Professional Professional Modifier Low / Median / High Price $248.89 / $351.39 / $744.30	Professional		$248.89	$351.39	$744.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $516.76 / $560.05 / $4,042.45	Facility		$516.76	$560.05	$4,042.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,700.31 / $1,700.31 / $2,048.63	Professional		$1,700.31	$1,700.31	$2,048.63