Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.51 / $168.16 / $231.81	Facility		$107.51	$168.16	$231.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $107.51 / $133.15	Professional		$103.85	$107.51	$133.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.79 / $132.79 / $190.52	Facility		$132.79	$132.79	$190.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $244.99 / $366.89	Professional		$158.83	$244.99	$366.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $258.00 / $407.40	Facility		$113.25	$258.00	$407.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $123.00 / $187.00	Professional		$64.00	$123.00	$187.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $122.80 / $293.60	Professional		$53.87	$122.80	$293.60
United Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $528.54 / $528.54	Facility		$528.54	$528.54	$528.54
United Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $207.39 / $337.01	Professional		$135.16	$207.39	$337.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $269.58 / $466.30 / $607.26	Facility		$269.58	$466.30	$607.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,130.08 / $1,130.08 / $1,130.08	Professional		$1,130.08	$1,130.08	$1,130.08