Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.95 / $85.02 / $129.41	Facility	26	$76.95	$85.02	$129.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.99 / $402.08 / $779.52	Professional		$275.99	$402.08	$779.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.73 / $200.73 / $200.73	Professional		$200.73	$200.73	$200.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $87.60	Facility	26	$87.60	$87.60	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.55 / $689.98 / $1,353.26	Professional		$361.55	$689.98	$1,353.26
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $116.18 / $133.00 / $239.13	Facility	26	$116.18	$133.00	$239.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $321.00 / $550.00	Professional		$103.00	$321.00	$550.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.11 / $288.06 / $486.81	Professional		$108.11	$288.06	$486.81
United Facility/Professional Professional Modifier Low / Median / High Price $298.47 / $562.54 / $1,008.96	Professional		$298.47	$562.54	$1,008.96
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $556.32 / $700.72 / $700.72	Facility	26	$556.32	$700.72	$700.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,448.60 / $3,448.60 / $3,448.60	Professional		$3,448.60	$3,448.60	$3,448.60