Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.75 / $42.40 / $66.91	Facility	26	$25.75	$42.40	$66.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $82.66 / $155.13	Professional		$79.20	$82.66	$155.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $139.54 / $235.77	Professional		$94.49	$139.54	$235.77
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $44.47 / $50.12 / $79.73	Facility	26	$44.47	$50.12	$79.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $138.44 / $337.97	Professional		$36.00	$138.44	$337.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $129.90 / $255.40	Professional		$113.00	$129.90	$255.40
United Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $120.11 / $238.87	Professional		$91.23	$120.11	$238.87
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $66.40 / $137.99 / $137.99	Facility	26	$66.40	$137.99	$137.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $607.26 / $773.85 / $773.85	Professional		$607.26	$773.85	$773.85