Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $141.44 / $141.44	Facility		$141.44	$141.44	$141.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.80 / $141.44 / $141.44	Professional		$110.80	$141.44	$141.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $141.94 / $227.34	Professional		$91.16	$141.94	$227.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.33 / $126.21 / $212.95	Facility		$80.33	$126.21	$212.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $80.33 / $80.33	Professional		$80.33	$80.33	$80.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $172.00 / $172.00	Professional		$165.30	$172.00	$172.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $278.33 / $3,728.65 / $3,728.65	Facility		$278.33	$3,728.65	$3,728.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $902.23 / $1,377.15 / $1,377.15	Professional		$902.23	$1,377.15	$1,377.15