Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,350.00 / $9,706.00 / $19,427.66	Facility		$4,350.00	$9,706.00	$19,427.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $894.87 / $1,402.75 / $2,084.91	Facility		$894.87	$1,402.75	$2,084.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $260.06 / $280.55 / $450.84	Facility	80	$260.06	$280.55	$450.84
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $145.94 / $196.39 / $315.58	Facility	AS	$145.94	$196.39	$315.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $78,788.94 / $78,788.94 / $121,675.70	Facility		$78,788.94	$78,788.94	$121,675.70
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,889.10 / $5,897.00 / $27,770.10	Facility		$5,889.10	$5,897.00	$27,770.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $205.32 / $2,632.21 / $2,632.21	Facility	AS	$205.32	$2,632.21	$2,632.21