Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.82 / $94.82 / $150.13	Facility	26	$94.82	$94.82	$150.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.65 / $305.87 / $550.72	Professional		$233.65	$305.87	$550.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.64 / $109.64 / $109.64	Facility	26	$109.64	$109.64	$109.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.69 / $399.80 / $735.15	Professional		$265.69	$399.80	$735.15
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $138.77 / $138.77 / $248.26	Facility	26	$138.77	$138.77	$248.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $189.00 / $309.00	Professional		$120.00	$189.00	$309.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $327.98 / $487.74	Professional		$136.16	$327.98	$487.74
United Facility/Professional Professional Modifier Low / Median / High Price $243.22 / $366.67 / $727.99	Professional		$243.22	$366.67	$727.99
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $225.81 / $225.81 / $485.69	Facility	26	$225.81	$225.81	$485.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,025.59 / $2,025.59 / $2,738.70	Professional		$2,025.59	$2,025.59	$2,738.70