Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $1,952.00 / $1,952.00	Facility		$30.00	$1,952.00	$1,952.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,616.00	Professional		$30.00	$30.00	$1,616.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,125.00 / $1,770.00	Professional		$750.00	$1,125.00	$1,770.00
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 $880.00 / $880.00 / $880.00	Professional		$880.00	$880.00	$880.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $25.17 / $37.59	Professional		$15.00	$25.17	$37.59
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $65.20 / $105.00	Professional		$40.00	$65.20	$105.00
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 $3,604.48 / $7,680.00 / $7,680.00	Professional		$3,604.48	$7,680.00	$7,680.00