Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.89 / $83.84 / $122.11	Facility	26	$73.89	$83.84	$122.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $236.09 / $484.77	Professional		$217.47	$236.09	$484.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.25 / $355.77 / $553.21	Professional		$273.25	$355.77	$553.21
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $103.99 / $118.00 / $187.02	Facility	26	$103.99	$118.00	$187.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $279.54 / $279.54 / $526.79	Professional		$279.54	$279.54	$526.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $325.60 / $622.60	Professional		$3.00	$325.60	$622.60
United Facility/Professional Professional Modifier Low / Median / High Price $200.51 / $313.54 / $585.54	Professional		$200.51	$313.54	$585.54
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $174.23 / $363.28 / $363.28	Facility	26	$174.23	$363.28	$363.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,690.06 / $1,690.06 / $1,741.05	Professional		$1,690.06	$1,690.06	$1,741.05