Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.85 / $347.45 / $446.05	Facility		$190.85	$347.45	$446.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.08 / $190.85 / $315.62	Professional		$182.08	$190.85	$315.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.42 / $214.42 / $23,343.00	Facility		$214.42	$214.42	$23,343.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.31 / $372.00 / $639.00	Professional		$222.31	$372.00	$639.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.08 / $263.91 / $343.39	Facility		$182.08	$263.91	$343.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $300.00 / $343.39	Professional		$85.00	$300.00	$343.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $194.50 / $339.34	Professional		$57.91	$194.50	$339.34
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $874.00 / $2,229.00	Facility		$206.00	$874.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.38 / $286.66 / $525.00	Professional		$182.38	$286.66	$525.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,377.76 / $1,740.08 / $1,740.08	Facility		$1,377.76	$1,740.08	$1,740.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,286.33 / $1,537.28 / $1,537.28	Professional		$1,286.33	$1,537.28	$1,537.28