Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.11 / $1,231.11 / $1,625.67	Facility		$1,231.11	$1,231.11	$1,625.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.39 / $630.39 / $630.39	Professional		$630.39	$630.39	$630.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $593.30 / $741.64 / $1,112.46	Facility		$593.30	$741.64	$1,112.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $482.07 / $482.07 / $741.64	Professional		$482.07	$482.07	$741.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.64 / $1,134.71 / $1,420.24	Professional		$741.64	$1,134.71	$1,420.24
United Facility/Professional Professional Modifier Low / Median / High Price $370.82 / $444.98 / $763.89	Professional		$370.82	$444.98	$763.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,290.45 / $3,522.79 / $3,522.79	Facility		$1,290.45	$3,522.79	$3,522.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,693.37 / $3,693.37 / $5,562.30	Professional		$3,693.37	$3,693.37	$5,562.30