Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.22 / $62.23 / $162.58	Facility	26	$62.22	$62.23	$162.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.85 / $196.85 / $587.39	Professional		$196.85	$196.85	$587.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $160.24 / $160.24	Professional		$160.24	$160.24	$160.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.34 / $78.34 / $78.34	Facility	26	$78.34	$78.34	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.58 / $402.35 / $661.96	Professional		$248.58	$402.35	$661.96
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $108.06 / $192.06	Facility	26	$80.00	$108.06	$192.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $277.00 / $804.89	Professional		$88.00	$277.00	$804.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.72 / $203.11 / $349.18	Professional		$68.72	$203.11	$349.18
United Facility/Professional Professional Modifier Low / Median / High Price $246.42 / $644.42 / $1,361.38	Professional		$246.42	$644.42	$1,361.38
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $495.28 / $624.08 / $624.08	Facility	26	$495.28	$624.08	$624.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,445.91 / $1,798.50 / $1,798.50	Professional		$1,445.91	$1,798.50	$1,798.50