Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.09 / $6,095.00 / $10,768.00	Facility		$896.09	$6,095.00	$10,768.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $608.14 / $778.00 / $1,450.00	Facility		$608.14	$778.00	$1,450.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $105.59 / $108.92 / $215.78	Facility	AS	$105.59	$108.92	$215.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,213.82 / $4,213.82 / $4,213.82	Facility		$4,213.82	$4,213.82	$4,213.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,925.40 / $8,957.00 / $26,542.00	Facility		$2,925.40	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $142.66 / $510.42 / $849.00	Facility	AS	$142.66	$510.42	$849.00