Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.29 / $39.92 / $58.08	Facility	26	$31.29	$39.92	$58.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $195.04 / $398.98	Professional		$192.63	$195.04	$398.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.42 / $39.42 / $39.42	Facility	26	$39.42	$39.42	$39.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.09 / $388.32 / $628.05	Professional		$179.09	$388.32	$628.05
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $53.13 / $62.00 / $114.98	Facility	26	$53.13	$62.00	$114.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $263.00 / $309.00	Professional		$46.00	$263.00	$309.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $212.20 / $458.00 / $615.40	Professional		$212.20	$458.00	$615.40
United Facility/Professional Professional Modifier Low / Median / High Price $186.03 / $294.72 / $628.98	Professional		$186.03	$294.72	$628.98
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $81.73 / $107.99 / $168.58	Facility	26	$81.73	$107.99	$168.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,447.02 / $1,447.02 / $1,798.95	Professional		$1,447.02	$1,447.02	$1,798.95