Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $610.00 / $610.00	Facility		$30.00	$610.00	$610.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $505.00	Professional		$30.00	$30.00	$505.00
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
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $19.63 / $37.59	Professional		$4.00	$19.63	$37.59
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $65.00 / $104.46	Professional		$40.00	$65.00	$104.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Facility		$225.00	$225.00	$225.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,126.40 / $2,400.00 / $2,400.00	Professional		$1,126.40	$2,400.00	$2,400.00