Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,178.59 / $1,178.59 / $1,556.32	Facility		$1,178.59	$1,178.59	$1,556.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.50 / $603.50 / $603.50	Professional		$603.50	$603.50	$603.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $710.00 / $1,065.00	Facility		$568.00	$710.00	$1,065.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $461.50 / $461.50 / $710.00	Professional		$461.50	$461.50	$710.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $1,086.30 / $1,359.65	Professional		$710.00	$1,086.30	$1,359.65
United Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $426.00 / $731.30	Professional		$355.00	$426.00	$731.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,235.40 / $3,372.50 / $3,372.50	Facility		$1,235.40	$3,372.50	$3,372.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,535.80 / $3,535.80 / $5,325.00	Professional		$3,535.80	$3,535.80	$5,325.00