Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.23 / $69.23 / $110.24	Facility	26	$69.23	$69.23	$110.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.25 / $487.50 / $487.50	Professional		$369.25	$487.50	$487.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.78 / $80.78 / $80.78	Facility	26	$80.78	$80.78	$80.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $565.38 / $1,187.22	Professional		$234.61	$565.38	$1,187.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $103.00 / $112.29 / $174.21	Facility	26	$103.00	$112.29	$174.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $432.00 / $520.00	Professional		$88.00	$432.00	$520.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $682.21 / $843.53	Professional		$100.41	$682.21	$843.53
United Facility/Professional Professional Modifier Low / Median / High Price $295.80 / $559.70 / $1,386.71	Professional		$295.80	$559.70	$1,386.71
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $165.22 / $215.97 / $358.10	Facility	26	$165.22	$215.97	$358.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,264.77 / $3,264.77 / $4,597.43	Professional		$3,264.77	$3,264.77	$4,597.43