Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.44 / $47.30 / $72.00	Facility	26	$39.44	$47.30	$72.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $101.84 / $197.13	Professional		$94.46	$101.84	$197.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.02 / $113.02 / $113.02	Professional		$113.02	$113.02	$113.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.75 / $49.75 / $49.75	Facility	26	$49.75	$49.75	$49.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $231.54 / $384.83	Professional		$117.25	$231.54	$384.83
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $65.27 / $75.00 / $134.58	Facility	26	$65.27	$75.00	$134.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $66.00 / $154.00	Professional		$57.00	$66.00	$154.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $100.34 / $192.57	Professional		$45.15	$100.34	$192.57
United Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $187.79 / $299.32	Professional		$107.31	$187.79	$299.32
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $101.97 / $211.52 / $211.52	Facility	26	$101.97	$211.52	$211.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,325.15 / $1,325.15 / $1,325.15	Professional		$1,325.15	$1,325.15	$1,325.15