Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $128.82 / $302.00	Facility	26	$77.62	$128.82	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $1,148.15	Professional		$338.84	$426.58	$1,148.15
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 $398.11 / $724.44 / $1,174.90	Professional		$398.11	$724.44	$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 / $309.03 / $707.95	Professional		$77.62	$309.03	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $1,023.29	Professional		$371.54	$575.44	$1,023.29
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