Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.40 / $94.40 / $143.63	Facility		$94.40	$94.40	$143.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $94.40 / $94.40	Professional		$92.04	$94.40	$94.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.28 / $117.28 / $201.17	Facility		$117.28	$117.28	$201.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.18 / $203.02 / $358.75	Professional		$125.18	$203.02	$358.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.25 / $194.73 / $279.12	Facility		$95.25	$194.73	$279.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $190.33	Professional		$102.00	$102.00	$190.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $98.61 / $241.80	Professional		$85.76	$98.61	$241.80
United Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $265.33 / $506.18	Professional		$123.76	$265.33	$506.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $250.47 / $682.45 / $797.62	Facility		$250.47	$682.45	$797.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $855.68 / $1,194.00 / $1,194.00	Professional		$855.68	$1,194.00	$1,194.00