Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $1,414.78 / $1,414.78	Facility		$25.12	$1,414.78	$1,414.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $25.12 / $57.20	Professional		$20.74	$25.12	$57.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $51.78 / $74.16	Professional		$29.47	$51.78	$74.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $26.95 / $42.24	Facility		$24.96	$26.95	$42.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $31.00 / $34.00	Professional		$26.95	$31.00	$34.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $31.20	Professional		$26.00	$26.00	$31.20
United Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $58.00 / $73.00	Professional		$45.60	$58.00	$73.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $123.58 / $123.58	Facility		$45.88	$123.58	$123.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $199.28 / $199.28	Professional		$159.61	$199.28	$199.28