Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,017.52 / $2,427.09 / $2,912.51	Professional		$2,017.52	$2,427.09	$2,912.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,427.09 / $3,033.86 / $3,058.13	Facility		$2,427.09	$3,033.86	$3,058.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,972.01 / $1,972.01 / $1,972.01	Professional		$1,972.01	$1,972.01	$1,972.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,337.25 / $3,337.25 / $5,121.16	Professional		$3,337.25	$3,337.25	$5,121.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,516.93 / $1,820.32 / $3,337.25	Professional		$1,516.93	$1,820.32	$3,337.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $14,410.84 / $14,410.84 / $14,410.84	Facility		$14,410.84	$14,410.84	$14,410.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,108.62 / $15,108.62 / $22,753.95	Professional		$15,108.62	$15,108.62	$22,753.95