Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.22 / $67.19 / $92.35	Facility	26	$50.22	$67.19	$92.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.85 / $190.85 / $381.69	Professional		$190.85	$190.85	$381.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.01 / $63.01 / $63.01	Facility	26	$63.01	$63.01	$63.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.58 / $417.92 / $651.54	Professional		$309.58	$417.92	$651.54
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $75.18 / $88.17 / $171.31	Facility	26	$75.18	$88.17	$171.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $216.00 / $289.00	Professional		$73.00	$216.00	$289.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $244.55 / $504.80	Professional		$84.90	$244.55	$504.80
United Facility/Professional Professional Modifier Low / Median / High Price $219.76 / $353.42 / $594.09	Professional		$219.76	$353.42	$594.09
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $131.11 / $131.11 / $269.99	Facility	26	$131.11	$131.11	$269.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,091.00 / $2,091.00 / $2,091.00	Professional		$2,091.00	$2,091.00	$2,091.00