Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.19 / $787.78 / $1,939.41	Facility		$63.19	$787.78	$1,939.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $62.86 / $63.19	Professional		$52.85	$62.86	$63.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $103.62 / $136.84	Professional		$64.67	$103.62	$136.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $63.19 / $100.33	Facility		$48.96	$63.19	$100.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $50.20 / $50.20	Professional		$50.20	$50.20	$50.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $90.30 / $90.30	Professional		$90.30	$90.30	$90.30
United Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $92.00 / $126.00	Professional		$81.00	$92.00	$126.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $115.66 / $5,062.89 / $5,062.89	Facility		$115.66	$5,062.89	$5,062.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $402.94 / $402.94 / $572.40	Professional		$402.94	$402.94	$572.40