Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.92 / $65.63 / $93.76	Facility	26	$49.92	$65.63	$93.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.47 / $291.95 / $539.63	Professional		$286.47	$291.95	$539.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.43 / $63.43 / $63.43	Facility	26	$63.43	$63.43	$63.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.58 / $579.36 / $942.08	Professional		$250.58	$579.36	$942.08
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $91.80 / $100.00 / $177.57	Facility	26	$91.80	$100.00	$177.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $386.00 / $461.00	Professional		$75.00	$386.00	$461.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.60 / $687.90 / $919.60	Professional		$268.60	$687.90	$919.60
United Facility/Professional Professional Modifier Low / Median / High Price $278.43 / $411.68 / $952.79	Professional		$278.43	$411.68	$952.79
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $131.08 / $131.08 / $268.95	Facility	26	$131.08	$131.08	$268.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,164.91 / $2,164.91 / $2,672.55	Professional		$2,164.91	$2,164.91	$2,672.55