Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $363.08	Professional		$158.49	$208.93	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $549.54	Professional		$169.82	$281.84	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $239.88 / $407.38	Facility		$186.21	$239.88	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $436.52	Professional		$104.71	$208.93	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $398.11	Professional		$144.54	$213.80	$398.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,737.80	Professional		$1,380.38	$1,380.38	$1,737.80