Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.61 / $990.89 / $1,024.18	Facility		$711.61	$990.89	$1,024.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.89 / $1,123.53 / $1,678.47	Professional		$990.89	$1,123.53	$1,678.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.86 / $1,181.17 / $1,880.41	Professional		$893.86	$1,181.17	$1,880.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $768.78 / $985.37 / $1,471.51	Facility		$768.78	$985.37	$1,471.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $918.13 / $918.13 / $918.13	Professional		$918.13	$918.13	$918.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,030.50 / $1,030.50 / $1,030.50	Professional		$1,030.50	$1,030.50	$1,030.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,116.20 / $4,116.20 / $4,186.26	Facility		$4,116.20	$4,116.20	$4,186.26
United Facility/Professional Professional Modifier Low / Median / High Price $638.47 / $968.84 / $1,687.26	Professional		$638.47	$968.84	$1,687.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,309.00 / $17,070.15 / $26,542.00	Facility		$2,309.00	$17,070.15	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,647.20 / $4,647.20 / $5,325.08	Professional		$4,647.20	$4,647.20	$5,325.08