Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.71 / $89.71 / $138.88	Facility	26	$89.71	$89.71	$138.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.23 / $433.90 / $700.21	Professional		$241.23	$433.90	$700.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.54 / $104.54 / $104.54	Facility	26	$104.54	$104.54	$104.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.72 / $444.24 / $906.86	Professional		$260.72	$444.24	$906.86
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $105.43 / $119.00 / $174.99	Facility	26	$105.43	$119.00	$174.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $219.00 / $417.00	Professional		$112.00	$219.00	$417.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $528.40 / $659.90	Professional		$3.00	$528.40	$659.90
United Facility/Professional Professional Modifier Low / Median / High Price $235.71 / $383.99 / $881.41	Professional		$235.71	$383.99	$881.41
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $344.40 / $433.72 / $433.72	Facility	26	$344.40	$433.72	$433.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,885.70 / $2,885.70 / $3,369.08	Professional		$2,885.70	$2,885.70	$3,369.08