Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.93 / $1,162.93 / $1,535.63	Facility		$1,162.93	$1,162.93	$1,535.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.48 / $595.48 / $595.48	Professional		$595.48	$595.48	$595.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $560.45 / $700.56 / $1,050.83	Facility		$560.45	$700.56	$1,050.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $455.36 / $455.36 / $700.56	Professional		$455.36	$455.36	$700.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $700.56 / $1,071.85 / $1,341.57	Professional		$700.56	$1,071.85	$1,341.57
United Facility/Professional Facility Modifier Low / Median / High Price $840.67 / $840.67 / $840.67	Facility		$840.67	$840.67	$840.67
United Facility/Professional Professional Modifier Low / Median / High Price $350.28 / $420.34 / $721.58	Professional		$350.28	$420.34	$721.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,218.97 / $3,327.66 / $3,327.66	Facility		$1,218.97	$3,327.66	$3,327.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,488.79 / $3,488.79 / $5,254.20	Professional		$3,488.79	$3,488.79	$5,254.20