Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.22 / $83.68 / $113.12	Facility	26	$61.22	$83.68	$113.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.29 / $248.18 / $442.88	Professional		$240.29	$248.18	$442.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.70 / $77.70 / $77.70	Facility	26	$77.70	$77.70	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.94 / $520.55 / $824.82	Professional		$374.94	$520.55	$824.82
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $92.09 / $122.00 / $217.36	Facility	26	$92.09	$122.00	$217.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $283.00 / $373.00	Professional		$90.00	$283.00	$373.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $310.79 / $646.29	Professional		$105.08	$310.79	$646.29
United Facility/Professional Professional Modifier Low / Median / High Price $280.32 / $420.14 / $758.57	Professional		$280.32	$420.14	$758.57
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $162.19 / $176.70 / $334.21	Facility	26	$162.19	$176.70	$334.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,279.71 / $2,279.71 / $2,279.71	Professional		$2,279.71	$2,279.71	$2,279.71