Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.16 / $250.63 / $250.63	Facility		$128.16	$250.63	$250.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $128.16 / $165.38	Professional		$107.62	$128.16	$165.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $144.69 / $144.69	Facility		$144.69	$144.69	$144.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $171.77 / $339.62	Professional		$91.54	$171.77	$339.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.83 / $128.16 / $196.35	Facility		$97.83	$128.16	$196.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $86.00 / $170.00	Professional		$84.00	$86.00	$170.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $115.15 / $231.83	Professional		$63.95	$115.15	$231.83
United Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $147.30 / $319.82	Professional		$91.56	$147.30	$319.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $827.61 / $1,043.00 / $1,043.00	Facility		$827.61	$1,043.00	$1,043.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $839.64 / $839.64 / $1,075.65	Professional		$839.64	$839.64	$1,075.65