Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.45 / $55.00 / $66.56	Facility	26	$33.45	$55.00	$66.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.58 / $255.58 / $482.77	Professional		$255.58	$255.58	$482.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.17 / $42.17 / $42.17	Facility	26	$42.17	$42.17	$42.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.93 / $522.24 / $828.73	Professional		$269.93	$522.24	$828.73
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $60.70 / $72.00 / $126.64	Facility	26	$60.70	$72.00	$126.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $366.00 / $419.00	Professional		$53.00	$366.00	$419.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $320.60 / $624.20 / $809.80	Professional		$320.60	$624.20	$809.80
United Facility/Professional Professional Modifier Low / Median / High Price $283.56 / $388.17 / $828.41	Professional		$283.56	$388.17	$828.41
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $87.61 / $122.71 / $180.12	Facility	26	$87.61	$122.71	$180.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,900.36 / $1,900.36 / $2,323.58	Professional		$1,900.36	$1,900.36	$2,323.58