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 / $420.00	Professional		$30.00	$30.00	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $300.00 / $472.00	Professional		$200.00	$300.00	$472.00
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 $275.00 / $275.00 / $275.00	Professional		$275.00	$275.00	$275.00
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 / $63.00 / $102.00	Professional		$40.00	$63.00	$102.00
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 $1,126.40 / $2,400.00 / $2,400.00	Professional		$1,126.40	$2,400.00	$2,400.00