Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.39 / $3,707.00 / $7,439.00	Facility		$123.39	$3,707.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $123.39 / $131.97	Professional		$123.39	$123.39	$131.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $322.89 / $452.19	Professional		$183.76	$322.89	$452.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.88 / $119.45 / $242.83	Facility		$104.88	$119.45	$242.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $119.45 / $119.45	Professional		$119.45	$119.45	$119.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $212.00 / $456.92	Professional		$153.62	$212.00	$456.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,338.28 / $4,092.84 / $4,092.84	Facility		$1,338.28	$4,092.84	$4,092.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,471.30 / $5,448.23 / $5,448.23	Professional		$4,471.30	$5,448.23	$5,448.23