Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.09 / $72.02 / $114.99	Facility	26	$66.09	$72.02	$114.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $231.48 / $332.23	Professional		$198.16	$231.48	$332.23
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 $203.14 / $305.73 / $560.70	Professional		$203.14	$305.73	$560.70
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $105.50 / $105.50 / $189.96	Facility	26	$105.50	$105.50	$189.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $145.00 / $237.00	Professional		$92.00	$145.00	$237.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $235.86 / $370.71	Professional		$103.92	$235.86	$370.71
United Facility/Professional Professional Modifier Low / Median / High Price $192.72 / $278.33 / $550.62	Professional		$192.72	$278.33	$550.62
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 $1,533.47 / $1,533.47 / $2,080.94	Professional		$1,533.47	$1,533.47	$2,080.94