Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $276.04 / $276.04 / $619.69	Facility	26	$276.04	$276.04	$619.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.89 / $847.47 / $1,540.88	Professional		$771.89	$847.47	$1,540.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $320.77 / $320.77 / $320.77	Facility	26	$320.77	$320.77	$320.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.48 / $1,412.62 / $2,396.82	Professional		$945.48	$1,412.62	$2,396.82
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $447.11 / $685.08 / $834.79	Facility	26	$447.11	$685.08	$834.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $352.00 / $794.00 / $1,146.00	Professional		$352.00	$794.00	$1,146.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.26 / $897.05 / $1,416.68	Professional		$398.26	$897.05	$1,416.68
United Facility/Professional Professional Modifier Low / Median / High Price $869.52 / $1,302.81 / $2,360.42	Professional		$869.52	$1,302.81	$2,360.42
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $662.35 / $662.35 / $1,421.72	Facility	26	$662.35	$662.35	$1,421.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,608.27 / $5,608.27 / $7,678.80	Professional		$5,608.27	$5,608.27	$7,678.80