Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $26.42 / $26.42	Facility		$26.42	$26.42	$26.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $26.42 / $36.47	Professional		$21.01	$26.42	$36.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $57.92 / $83.88	Professional		$29.47	$57.92	$83.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $28.81 / $45.69	Facility		$26.00	$28.81	$45.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $31.00 / $34.00	Professional		$30.41	$31.00	$34.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $31.20 / $31.20	Professional		$31.20	$31.20	$31.20
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $76.00 / $109.00	Professional		$27.00	$76.00	$109.00
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 $167.71 / $199.28 / $199.28	Professional		$167.71	$199.28	$199.28