Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.70 / $12.70 / $12.70	Facility		$12.70	$12.70	$12.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $12.70 / $15.10	Professional		$8.10	$12.70	$15.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $22.54 / $34.71	Professional		$16.28	$22.54	$34.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $13.55 / $19.57	Facility		$12.28	$13.55	$19.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $22.00 / $24.00	Professional		$13.55	$22.00	$24.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $21.80 / $21.80	Professional		$21.80	$21.80	$21.80
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $35.00 / $54.00	Professional		$13.76	$35.00	$54.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $86.18 / $86.18	Facility		$32.09	$86.18	$86.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $139.05 / $139.05	Professional		$97.74	$139.05	$139.05