Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $239.88 / $426.58	Facility		$151.36	$239.88	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $398.11	Professional		$120.23	$151.36	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $204.17 / $489.78	Facility		$107.15	$204.17	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $478.63	Professional		$134.90	$269.15	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $204.17 / $416.87	Facility		$147.91	$204.17	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $398.11 / $489.78	Professional		$134.90	$398.11	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $309.03 / $831.76	Facility		$275.42	$309.03	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $416.87	Professional		$131.83	$213.80	$416.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15