Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.78 / $181.62 / $220.50	Facility		$118.78	$181.62	$220.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $118.78 / $144.87	Professional		$115.55	$118.78	$144.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.47 / $146.47 / $241.12	Facility		$146.47	$146.47	$241.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.15 / $256.47 / $381.52	Professional		$165.15	$256.47	$381.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.25 / $256.00 / $446.36	Facility		$125.25	$256.00	$446.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $109.00 / $177.00	Professional		$68.00	$109.00	$177.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $122.80 / $321.30	Professional		$71.47	$122.80	$321.30
United Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $203.48 / $369.54	Professional		$134.33	$203.48	$369.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $293.85 / $466.30 / $668.80	Facility		$293.85	$466.30	$668.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,174.00 / $1,174.00 / $1,174.00	Professional		$1,174.00	$1,174.00	$1,174.00