Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.17 / $76.68 / $121.00	Facility	26	$54.17	$76.68	$121.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.04 / $236.43 / $236.43	Professional		$211.04	$236.43	$236.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.66 / $62.66 / $62.66	Facility	26	$62.66	$62.66	$62.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.30 / $352.28 / $613.00	Professional		$235.30	$352.28	$613.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $88.02 / $134.15 / $164.34	Facility	26	$88.02	$134.15	$164.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $213.00 / $282.00	Professional		$69.00	$213.00	$282.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $280.58 / $373.41	Professional		$77.89	$280.58	$373.41
United Facility/Professional Professional Modifier Low / Median / High Price $220.02 / $320.14 / $640.83	Professional		$220.02	$320.14	$640.83
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $129.58 / $129.58 / $278.73	Facility	26	$129.58	$129.58	$278.73
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,574.10 / $1,574.10 / $2,110.94	Professional		$1,574.10	$1,574.10	$2,110.94