Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $128.82 / $302.00	Facility	26	$75.86	$128.82	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $1,047.13	Professional		$275.42	$426.58	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $125.89	Facility	26	$18.62	$87.10	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $660.69 / $1,174.90	Professional		$331.13	$660.69	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	26	$141.25	$141.25	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $251.19 / $575.44	Professional		$77.62	$251.19	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $912.01	Professional		$295.12	$524.81	$912.01
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	26	$707.95	$707.95	$707.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37