Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.06 / $113.32 / $113.32	Facility		$82.06	$113.32	$113.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $109.73 / $180.08	Professional		$96.61	$109.73	$180.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $162.47 / $372.73	Professional		$65.89	$162.47	$372.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.68 / $211.00 / $466.54	Facility		$131.68	$211.00	$466.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Professional		$135.00	$135.00	$135.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $75.34 / $236.83	Professional		$37.35	$75.34	$236.83
United Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $136.01 / $346.22	Professional		$80.86	$136.01	$346.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $939.44 / $939.44 / $939.44	Facility		$939.44	$939.44	$939.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,260.63 / $2,260.63 / $2,260.63	Professional		$2,260.63	$2,260.63	$2,260.63