Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.81 / $115.81 / $115.81	Facility		$115.81	$115.81	$115.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $115.81 / $115.81	Professional		$99.22	$115.81	$115.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $194.81 / $271.00	Professional		$122.20	$194.81	$271.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $115.81 / $189.70	Facility		$92.77	$115.81	$189.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $93.74 / $93.74	Professional		$93.74	$93.74	$93.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $143.10 / $143.10	Professional		$125.10	$143.10	$143.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $5,062.89 / $5,062.89	Facility		$211.34	$5,062.89	$5,062.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $738.66 / $738.66 / $1,046.40	Professional		$738.66	$738.66	$1,046.40