Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.59 / $52.31 / $74.34	Facility	26	$39.59	$52.31	$74.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.06 / $198.75 / $366.42	Professional		$192.06	$198.75	$366.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.32 / $50.32 / $50.32	Facility	26	$50.32	$50.32	$50.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.93 / $378.51 / $618.97	Professional		$231.93	$378.51	$618.97
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $68.90 / $80.00 / $152.80	Facility	26	$68.90	$80.00	$152.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $242.00 / $301.00	Professional		$59.00	$242.00	$301.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $442.00 / $601.60	Professional		$275.39	$442.00	$601.60
United Facility/Professional Professional Modifier Low / Median / High Price $221.65 / $294.02 / $632.33	Professional		$221.65	$294.02	$632.33
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $104.72 / $130.07 / $214.80	Facility	26	$104.72	$130.07	$214.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,573.00 / $1,573.00 / $1,787.85	Professional		$1,573.00	$1,573.00	$1,787.85