Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.74 / $107.60 / $163.81	Facility	26	$89.74	$107.60	$163.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $229.89 / $293.93	Professional		$165.44	$229.89	$293.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.28 / $122.28 / $122.28	Professional		$122.28	$122.28	$122.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.58 / $321.33 / $553.32	Professional		$211.58	$321.33	$553.32
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $132.00 / $143.69 / $200.17	Facility	26	$132.00	$143.69	$200.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $206.00 / $360.00	Professional		$129.00	$206.00	$360.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $372.00 / $555.79	Professional		$251.00	$372.00	$555.79
United Facility/Professional Professional Modifier Low / Median / High Price $189.47 / $243.78 / $502.82	Professional		$189.47	$243.78	$502.82
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $235.26 / $495.43 / $495.43	Facility	26	$235.26	$495.43	$495.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,682.32 / $1,682.32 / $2,167.13	Professional		$1,682.32	$1,682.32	$2,167.13