Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $151.36 / $309.03	Facility	26	$89.13	$151.36	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $870.96	Professional		$288.40	$363.08	$870.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $114.82 / $162.18	Facility	26	$24.55	$114.82	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $1,047.13	Professional		$380.19	$588.84	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $309.03 / $602.56	Professional		$100.00	$309.03	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $707.95 / $1,288.25	Professional		$371.54	$707.95	$1,288.25
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	26	$912.01	$912.01	$912.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,884.03	Professional		$2,290.87	$2,290.87	$2,884.03