Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $104.71	Professional		$87.10	$87.10	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $114.82	Facility		$81.28	$97.72	$114.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $30.20	Professional		$0.60	$0.60	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $109.65	Professional		$97.72	$104.71	$109.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $398.11	Professional		$234.42	$398.11	$398.11