Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $109.65 / $109.65	Facility		$77.62	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $158.49	Professional		$70.79	$107.15	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $97.72 / $257.04	Professional		$34.67	$97.72	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $128.82	Professional		$125.89	$125.89	$128.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $117.49 / $251.19	Facility		$64.57	$117.49	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $131.83	Professional		$45.71	$81.28	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $204.17	Professional		$43.65	$81.28	$204.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,122.02	Professional		$891.25	$891.25	$1,122.02