Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.52 / $190.52 / $190.52	Facility		$190.52	$190.52	$190.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $190.52 / $190.52	Professional		$73.12	$190.52	$190.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $168.22 / $340.11	Professional		$81.73	$168.22	$340.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $113.14 / $261.63	Facility		$50.85	$113.14	$261.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $68.64 / $68.64	Professional		$68.64	$68.64	$68.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $33.29 / $38.40	Professional		$33.29	$33.29	$38.40
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $79.00 / $125.00	Professional		$53.00	$79.00	$125.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $400.35 / $1,246.93 / $1,246.93	Facility		$400.35	$1,246.93	$1,246.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,260.90 / $1,982.10 / $1,982.10	Professional		$1,260.90	$1,982.10	$1,982.10