Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $37.15 / $89.13	Facility	26	$25.70	$37.15	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $194.98	Professional		$63.10	$93.33	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $218.78	Professional		$72.44	$109.65	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $229.09	Professional		$93.33	$93.33	$229.09
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $43.65 / $61.66	Professional	26	$43.65	$43.65	$61.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $199.53	Professional		$141.25	$165.96	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $169.82	Professional		$63.10	$93.33	$169.82
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $870.96	Professional		$676.08	$676.08	$870.96