Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.59 / $162.90 / $282.08	Facility		$153.59	$162.90	$282.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $153.59 / $167.64	Professional		$151.97	$153.59	$167.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.38 / $148.38 / $487.55	Facility		$148.38	$148.38	$487.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.14 / $291.26 / $484.76	Professional		$123.14	$291.26	$484.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $188.00 / $391.06	Facility		$136.00	$188.00	$391.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $199.00 / $232.00	Professional		$33.00	$199.00	$232.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $364.70 / $485.60	Professional		$135.19	$364.70	$485.60
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 $136.58 / $225.36 / $415.99	Professional		$136.58	$225.36	$415.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $279.89 / $309.51 / $1,229.45	Facility		$279.89	$309.51	$1,229.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,140.68 / $1,140.68 / $1,140.68	Professional		$1,140.68	$1,140.68	$1,140.68