Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $114.82 / $245.47	Facility	26	$72.44	$114.82	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $389.05	Professional		$169.82	$229.09	$389.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $83.18 / $120.23	Facility	26	$18.20	$83.18	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $537.03	Professional		$204.17	$309.03	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $354.81	Professional		$104.71	$251.19	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $501.19	Professional		$186.21	$275.42	$501.19
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $457.09 / $457.09 / $457.09	Facility	26	$457.09	$457.09	$457.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,089.30	Professional		$1,548.82	$1,548.82	$2,089.30