Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.72 / $199.72 / $199.72	Facility		$199.72	$199.72	$199.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.77 / $199.72 / $231.88	Professional		$165.77	$199.72	$231.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.33 / $873.33 / $886.08	Facility		$873.33	$873.33	$886.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.13 / $234.74 / $422.54	Professional		$182.13	$234.74	$422.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.69 / $169.70 / $279.14	Facility		$139.69	$169.70	$279.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $155.75 / $272.00	Professional		$155.75	$155.75	$272.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $276.30 / $276.30 / $276.30	Professional		$276.30	$276.30	$276.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $367.69 / $5,062.89 / $5,062.89	Facility		$367.69	$5,062.89	$5,062.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,274.00 / $1,820.10 / $1,820.10	Professional		$1,274.00	$1,820.10	$1,820.10