Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $208.93	Professional		$93.33	$114.82	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $257.04	Professional		$112.20	$190.55	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $114.82 / $199.53	Facility		$91.20	$114.82	$199.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $169.82	Professional		$85.11	$85.11	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $223.87	Professional		$131.83	$151.36	$223.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,047.13	Professional		$724.44	$724.44	$1,047.13