Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.07 / $296.33 / $316.08	Professional		$275.07	$296.33	$316.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $65.17 / $147.00	Facility		$57.67	$65.17	$147.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Professional		$128.00	$128.00	$128.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $59.10 / $59.10	Professional		$56.80	$59.10	$59.10
United Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $83.89 / $139.81	Professional		$55.92	$83.89	$139.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $147.74 / $659.65 / $659.65	Professional		$147.74	$659.65	$659.65