Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $309.03	Professional		$204.17	$263.03	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $660.69	Professional		$269.15	$389.05	$660.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $275.42 / $457.09	Facility		$229.09	$275.42	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $645.65	Professional		$309.03	$537.03	$645.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,398.83	Professional		$1,698.24	$1,698.24	$2,398.83