Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.01 / $72.02 / $114.99	Facility	26	$72.01	$72.02	$114.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $140.66 / $143.26	Professional		$125.96	$140.66	$143.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.69 / $83.69 / $83.69	Facility	26	$83.69	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.85 / $224.78 / $397.55	Professional		$152.85	$224.78	$397.55
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $105.50 / $105.50 / $178.41	Facility	26	$105.50	$105.50	$178.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $96.00 / $188.00	Professional		$92.00	$96.00	$188.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.64 / $114.15 / $268.00	Professional		$99.64	$114.15	$268.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $212.60 / $392.57	Professional		$142.49	$212.60	$392.57
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $172.46 / $172.46 / $370.69	Facility	26	$172.46	$172.46	$370.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $920.53 / $920.53 / $1,246.95	Professional		$920.53	$920.53	$1,246.95