Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.50 / $425.50 / $425.50	Facility		$425.50	$425.50	$425.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $151.30 / $155.29	Professional		$126.52	$151.30	$155.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.23 / $575.60 / $1,688.40	Professional		$256.23	$575.60	$1,688.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.66 / $152.03 / $357.17	Facility		$149.66	$152.03	$357.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $571.47 / $1,714.00	Professional		$152.03	$571.47	$1,714.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,157.73 / $2,820.41 / $3,053.33	Professional		$2,157.73	$2,820.41	$3,053.33
United Facility/Professional Professional Modifier Low / Median / High Price $161.09 / $223.29 / $523.00	Professional		$161.09	$223.29	$523.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,104.58 / $6,592.43 / $6,592.43	Facility		$1,104.58	$6,592.43	$6,592.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,299.47 / $10,389.98 / $10,389.98	Professional		$6,299.47	$10,389.98	$10,389.98