Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.19 / $642.70 / $3,396.96	Facility		$114.19	$642.70	$3,396.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $111.66 / $220.50	Professional		$93.21	$111.66	$220.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $184.50 / $254.24	Professional		$115.54	$184.50	$254.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.55 / $114.19 / $182.28	Facility		$87.55	$114.19	$182.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $88.48 / $88.48	Professional		$88.48	$88.48	$88.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $97.90 / $154.40	Professional		$97.90	$97.90	$154.40
United Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $152.00 / $224.00	Professional		$133.00	$152.00	$224.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $3,728.65 / $3,728.65	Facility		$211.34	$3,728.65	$3,728.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $728.46 / $728.46 / $1,046.40	Professional		$728.46	$728.46	$1,046.40