Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.51 / $1,517.60 / $1,821.12	Professional		$1,261.51	$1,517.60	$1,821.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,517.60 / $5,435.00 / $5,435.00	Facility		$1,517.60	$5,435.00	$5,435.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,233.05 / $1,233.05 / $1,233.05	Professional		$1,233.05	$1,233.05	$1,233.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,978.50 / $5,978.50 / $9,174.28	Professional		$5,978.50	$5,978.50	$9,174.28
United Facility/Professional Professional Modifier Low / Median / High Price $948.50 / $1,138.20 / $3,035.20	Professional		$948.50	$1,138.20	$3,035.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $25,816.25 / $25,816.25 / $25,816.25	Facility		$25,816.25	$25,816.25	$25,816.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $27,066.30 / $27,066.30 / $40,762.50	Professional		$27,066.30	$27,066.30	$40,762.50