Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,671.31 / $1,671.31 / $2,412.71	Professional		$1,671.31	$1,671.31	$2,412.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,010.60 / $4,950.00 / $4,950.00	Facility		$2,010.60	$4,950.00	$4,950.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,633.61 / $1,633.61 / $1,633.61	Professional		$1,633.61	$1,633.61	$1,633.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,764.57 / $2,764.57 / $8,355.60	Professional		$2,764.57	$2,764.57	$8,355.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,256.63 / $1,507.95 / $4,021.20	Professional		$1,256.63	$1,507.95	$4,021.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $11,937.94 / $11,937.94 / $11,937.94	Facility		$11,937.94	$11,937.94	$11,937.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,515.99 / $12,515.99 / $18,849.38	Professional		$12,515.99	$12,515.99	$18,849.38