Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.61 / $204.94 / $335.60	Facility		$175.61	$204.94	$335.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.61 / $175.61 / $204.94	Professional		$175.61	$175.61	$204.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.34 / $220.34 / $591.49	Facility		$220.34	$220.34	$591.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.58 / $341.68 / $562.07	Professional		$167.58	$341.68	$562.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.61 / $270.35 / $530.20	Facility		$175.61	$270.35	$530.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $231.00 / $276.00	Professional		$45.00	$231.00	$276.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $415.60 / $553.20	Professional		$198.90	$415.60	$553.20
United Facility/Professional Facility Modifier Low / Median / High Price $480.33 / $480.33 / $480.33	Facility		$480.33	$480.33	$480.33
United Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $264.98 / $562.90	Professional		$175.30	$264.98	$562.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $382.61 / $414.35 / $1,229.45	Facility		$382.61	$414.35	$1,229.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,301.77 / $1,301.77 / $1,644.08	Professional		$1,301.77	$1,301.77	$1,644.08