Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.57 / $35.63 / $53.25	Facility	26	$27.57	$35.63	$53.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $208.94 / $275.14	Professional		$169.28	$208.94	$275.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.11 / $35.11 / $35.11	Facility	26	$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $345.92 / $588.38	Professional		$172.97	$345.92	$588.38
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $43.29 / $55.00 / $93.96	Facility	26	$43.29	$55.00	$93.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $206.00 / $249.00	Professional		$43.00	$206.00	$249.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.50 / $364.90 / $662.10	Professional		$205.50	$364.90	$662.10
United Facility/Professional Professional Modifier Low / Median / High Price $173.73 / $274.17 / $602.71	Professional		$173.73	$274.17	$602.71
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $71.45 / $93.26 / $148.11	Facility	26	$71.45	$93.26	$148.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,553.08 / $1,553.08 / $1,929.83	Professional		$1,553.08	$1,553.08	$1,929.83