Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.74 / $298.74 / $298.74	Facility		$298.74	$298.74	$298.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $298.74 / $298.74	Professional		$252.78	$298.74	$298.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.89 / $504.21 / $635.61	Professional		$328.89	$504.21	$635.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.08 / $298.74 / $486.55	Facility		$229.08	$298.74	$486.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.08 / $229.08 / $229.08	Professional		$229.08	$229.08	$229.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $317.60 / $317.60	Professional		$305.39	$317.60	$317.60
United Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $339.00 / $395.00	Professional		$267.00	$339.00	$395.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $552.69 / $1,720.72 / $1,720.72	Facility		$552.69	$1,720.72	$1,720.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,905.62 / $2,735.55 / $2,735.55	Professional		$1,905.62	$2,735.55	$2,735.55