Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $854.00 / $854.00	Facility		$30.00	$854.00	$854.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $658.00	Professional		$30.00	$30.00	$658.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $450.00 / $708.00	Professional		$300.00	$450.00	$708.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,740.00 / $1,950.00 / $3,990.00	Facility		$1,740.00	$1,950.00	$3,990.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $385.00 / $385.00	Professional		$385.00	$385.00	$385.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $19.63 / $37.59	Professional		$6.00	$19.63	$37.59
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $69.00 / $104.00	Professional		$40.00	$69.00	$104.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $82.00 / $82.00	Facility		$82.00	$82.00	$82.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,576.96 / $3,360.00 / $3,360.00	Professional		$1,576.96	$3,360.00	$3,360.00