Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,344.23 / $2,454.71	Facility		$588.84	$2,344.23	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $724.44	Professional		$489.78	$588.84	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,258.93	Professional		$1,122.02	$1,122.02	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $870.96 / $912.01	Facility		$446.68	$870.96	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $851.14	Professional		$309.03	$446.68	$851.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $5,623.41	Professional		$3,715.35	$3,715.35	$5,623.41