Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.16 / $76.36 / $110.61	Facility		$62.16	$76.36	$110.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $62.16 / $113.35	Professional		$62.16	$62.16	$113.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $76.43 / $230.48	Facility		$76.43	$76.43	$230.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $124.43 / $199.29	Professional		$76.93	$124.43	$199.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.16 / $108.57 / $206.36	Facility		$62.16	$108.57	$206.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $82.00 / $91.00	Professional		$9.00	$82.00	$91.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $127.80 / $197.80	Professional		$93.40	$127.80	$197.80
United Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $96.43 / $196.39	Professional		$72.47	$96.43	$196.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $154.62 / $418.95	Facility		$140.99	$154.62	$418.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $502.00 / $557.63	Professional		$502.00	$502.00	$557.63