Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $3,172.00 / $3,172.00	Facility		$30.00	$3,172.00	$3,172.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,444.00	Professional		$30.00	$30.00	$2,444.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,875.00 / $2,950.00	Professional		$1,250.00	$1,875.00	$2,950.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,950.00 / $3,990.00	Facility		$1,200.00	$1,950.00	$3,990.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,430.00 / $1,430.00 / $1,430.00	Professional		$1,430.00	$1,430.00	$1,430.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $33.24 / $47.88	Professional		$19.80	$33.24	$47.88
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $65.20 / $104.00	Professional		$40.00	$65.20	$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 $5,857.28 / $12,480.00 / $12,480.00	Professional		$5,857.28	$12,480.00	$12,480.00