Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $1,342.00 / $1,342.00	Facility		$30.00	$1,342.00	$1,342.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,111.00	Professional		$30.00	$30.00	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $750.00 / $1,180.00	Professional		$500.00	$750.00	$1,180.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,950.00 / $3,990.00	Facility		$500.00	$1,950.00	$3,990.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $605.00 / $605.00 / $605.00	Professional		$605.00	$605.00	$605.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.63 / $37.59	Professional		$10.00	$19.63	$37.59
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $64.00 / $103.50	Professional		$40.00	$64.00	$103.50
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 $2,478.08 / $5,280.00 / $5,280.00	Professional		$2,478.08	$5,280.00	$5,280.00