Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.78 / $55.78 / $86.56	Facility	26	$55.78	$55.78	$86.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.74 / $425.02 / $763.60	Professional		$300.74	$425.02	$763.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.42 / $64.42 / $64.42	Facility	26	$64.42	$64.42	$64.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.22 / $570.86 / $1,143.69	Professional		$293.22	$570.86	$1,143.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $76.14 / $87.00 / $170.27	Facility	26	$76.14	$87.00	$170.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $479.00 / $547.00	Professional		$69.00	$479.00	$547.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $553.62 / $688.80	Professional		$80.17	$553.62	$688.80
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $532.28 / $1,204.50	Professional		$308.68	$532.28	$1,204.50
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $131.47 / $147.25 / $460.70	Facility	26	$131.47	$147.25	$460.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,514.00 / $3,514.00 / $3,754.88	Professional		$3,514.00	$3,514.00	$3,754.88