Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.63 / $89.63 / $235.14	Facility	26	$89.63	$89.63	$235.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.25 / $352.54 / $620.91	Professional		$311.25	$352.54	$620.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.82 / $113.82 / $113.82	Facility	26	$113.82	$113.82	$113.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.26 / $638.21 / $1,036.06	Professional		$394.26	$638.21	$1,036.06
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $156.28 / $156.28 / $279.39	Facility	26	$156.28	$156.28	$279.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $439.00 / $1,272.69	Professional		$128.00	$439.00	$1,272.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $309.74 / $552.89	Professional		$101.09	$309.74	$552.89
United Facility/Professional Professional Modifier Low / Median / High Price $394.46 / $780.09 / $1,357.04	Professional		$394.46	$780.09	$1,357.04
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $728.08 / $913.76 / $913.76	Facility	26	$728.08	$913.76	$913.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,291.23 / $2,857.28 / $2,857.28	Professional		$2,291.23	$2,857.28	$2,857.28