Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.34 / $101.66 / $160.43	Facility	26	$72.34	$101.66	$160.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.92 / $344.41 / $359.84	Professional		$311.92	$344.41	$359.84
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 $368.12 / $543.75 / $927.13	Professional		$368.12	$543.75	$927.13
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $106.64 / $106.64 / $178.41	Facility	26	$106.64	$106.64	$178.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $351.00 / $443.00	Professional		$92.00	$351.00	$443.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $421.44 / $548.11	Professional		$103.92	$421.44	$548.11
United Facility/Professional Professional Modifier Low / Median / High Price $338.39 / $474.07 / $993.51	Professional		$338.39	$474.07	$993.51
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 $2,295.51 / $2,295.51 / $3,105.68	Professional		$2,295.51	$2,295.51	$3,105.68