Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $117.49 / $117.49	Facility		$81.28	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $208.93	Professional		$95.50	$120.23	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $151.36 / $371.54	Professional		$64.57	$151.36	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $707.95	Professional		$602.56	$602.56	$707.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $501.19	Facility		$114.82	$194.98	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $125.89	Professional		$47.86	$70.79	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $371.54	Professional		$77.62	$138.04	$371.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72