Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $87.10	Facility		$81.28	$81.28	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $112.20	Professional		$81.28	$109.65	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $104.71 / $158.49	Facility		$81.28	$104.71	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $63.10	Professional		$48.98	$48.98	$63.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84