Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.25 / $4,459.27 / $9,720.00	Facility		$779.25	$4,459.27	$9,720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $2,710.28	Facility		$852.10	$852.10	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $662.77 / $913.73 / $1,322.51	Facility		$662.77	$913.73	$1,322.51
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $164.26 / $207.20 / $312.83	Facility	80	$164.26	$207.20	$312.83
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $114.98 / $145.04 / $209.70	Facility	AS	$114.98	$145.04	$209.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $13,982.66 / $13,982.66 / $13,982.66	Facility		$13,982.66	$13,982.66	$13,982.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $8,957.00 / $26,542.00	Facility		$3,825.00	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $155.52 / $510.42 / $849.00	Facility	AS	$155.52	$510.42	$849.00