Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $1,220.00 / $1,220.00	Facility		$30.00	$1,220.00	$1,220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,010.00	Professional		$30.00	$30.00	$1,010.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $675.00 / $1,062.00	Professional		$450.00	$675.00	$1,062.00
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 $550.00 / $550.00 / $550.00	Professional		$550.00	$550.00	$550.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $19.63 / $37.59	Professional		$9.00	$19.63	$37.59
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $65.00 / $104.00	Professional		$40.00	$65.00	$104.00
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 $2,252.80 / $4,800.00 / $4,800.00	Professional		$2,252.80	$4,800.00	$4,800.00