Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.85 / $417.85 / $417.85	Facility		$417.85	$417.85	$417.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.81 / $417.85 / $632.99	Professional		$328.81	$417.85	$632.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.90 / $1,145.20 / $1,608.08	Professional		$669.90	$1,145.20	$1,608.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $417.85 / $710.35 / $1,109.10	Facility		$417.85	$710.35	$1,109.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.29 / $549.29 / $549.29	Professional		$549.29	$549.29	$549.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,448.70 / $1,448.70 / $1,646.10	Professional		$1,448.70	$1,448.70	$1,646.10
United Facility/Professional Professional Modifier Low / Median / High Price $465.00 / $640.00 / $760.00	Professional		$465.00	$640.00	$760.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,471.74 / $3,202.14 / $3,202.14	Facility		$1,471.74	$3,202.14	$3,202.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,202.14 / $3,202.14 / $3,867.10	Professional		$3,202.14	$3,202.14	$3,867.10