Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.51 / $211.85 / $384.13	Facility		$202.51	$211.85	$384.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.85 / $341.00 / $473.12	Professional		$211.85	$341.00	$473.12
Ambetter Facility/Professional Professional Modifier 22 Low / Median / High Price $369.83 / $369.83 / $369.83	Professional	22	$369.83	$369.83	$369.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.87 / $390.90 / $620.04	Professional		$203.87	$390.90	$620.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.07 / $300.41 / $592.96	Facility		$163.07	$300.41	$592.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $303.95 / $303.95 / $615.79	Professional		$303.95	$303.95	$615.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $445.91 / $445.91 / $445.91	Facility		$445.91	$445.91	$445.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $251.90 / $639.40	Professional		$5.00	$251.90	$639.40
United Facility/Professional Professional Modifier Low / Median / High Price $210.90 / $315.64 / $688.57	Professional		$210.90	$315.64	$688.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $879.60 / $879.60 / $16,394.00	Facility		$879.60	$879.60	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $938.64 / $1,737.92 / $2,012.70	Professional		$938.64	$1,737.92	$2,012.70