Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.89 / $298.58 / $1,307.38	Facility		$288.89	$298.58	$1,307.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.89 / $714.43 / $1,738.01	Professional		$288.89	$714.43	$1,738.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.97 / $1,174.34 / $2,345.50	Professional		$317.97	$1,174.34	$2,345.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $224.93 / $1,225.67 / $1,486.10	Facility		$224.93	$1,225.67	$1,486.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $539.16 / $1,838.51 / $2,210.78	Facility	50	$539.16	$1,838.51	$2,210.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,225.67 / $1,225.67 / $1,225.67	Professional		$1,225.67	$1,225.67	$1,225.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $270.26 / $846.63 / $1,039.97	Professional		$270.26	$846.63	$1,039.97
United Facility/Professional Professional Modifier Low / Median / High Price $766.90 / $1,212.48 / $2,028.14	Professional		$766.90	$1,212.48	$2,028.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $843.70 / $843.70	Facility		$55.00	$843.70	$843.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,725.42 / $4,589.24 / $5,015.70	Professional		$2,725.42	$4,589.24	$5,015.70