Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.30 / $3,878.82 / $7,724.00	Facility		$753.30	$3,878.82	$7,724.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $647.23 / $909.81 / $1,578.93	Facility		$647.23	$909.81	$1,578.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $112.83 / $172.06 / $246.82	Facility	AS	$112.83	$172.06	$246.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,186.39 / $4,186.39 / $4,186.39	Facility		$4,186.39	$4,186.39	$4,186.39
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 $3,116.85 / $8,957.00 / $26,542.00	Facility		$3,116.85	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $151.72 / $510.42 / $849.00	Facility	AS	$151.72	$510.42	$849.00