Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $1,098.00 / $1,098.00	Facility		$30.00	$1,098.00	$1,098.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $909.00	Professional		$30.00	$30.00	$909.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $600.00 / $944.00	Professional		$400.00	$600.00	$944.00
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 $8.00 / $19.63 / $37.59	Professional		$8.00	$19.63	$37.59
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $68.00 / $103.50	Professional		$40.00	$68.00	$103.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $405.00 / $405.00	Facility		$405.00	$405.00	$405.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,027.52 / $4,320.00 / $4,320.00	Professional		$2,027.52	$4,320.00	$4,320.00