Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.57 / $563.57 / $766.38	Facility		$563.57	$563.57	$766.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.18 / $335.64 / $563.57	Professional		$297.18	$335.64	$563.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $279.70 / $349.62 / $524.42	Facility		$279.70	$349.62	$524.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $227.25 / $349.62	Professional		$227.25	$227.25	$349.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $534.91 / $669.52	Professional		$349.62	$534.91	$669.52
United Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $209.77 / $349.62	Professional		$174.81	$209.77	$349.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $608.34 / $1,660.70 / $1,660.70	Facility		$608.34	$1,660.70	$1,660.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,748.10 / $1,748.10 / $2,622.15	Professional		$1,748.10	$1,748.10	$2,622.15