Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.20 / $75.20 / $197.84	Facility	26	$75.20	$75.20	$197.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.28 / $581.28 / $796.99	Professional		$581.28	$581.28	$796.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.65 / $96.65 / $96.65	Facility	26	$96.65	$96.65	$96.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.38 / $1,274.92 / $1,903.58	Professional		$788.38	$1,274.92	$1,903.58
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $113.97 / $131.50 / $220.86	Facility	26	$113.97	$131.50	$220.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,029.82 / $1,029.82 / $1,029.82	Professional		$1,029.82	$1,029.82	$1,029.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,841.80 / $1,841.80 / $1,841.80	Professional		$1,841.80	$1,841.80	$1,841.80
United Facility/Professional Professional Modifier Low / Median / High Price $680.66 / $925.52 / $1,888.01	Professional		$680.66	$925.52	$1,888.01
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $199.13 / $199.13 / $408.88	Facility	26	$199.13	$199.13	$408.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,322.46 / $5,333.63 / $5,333.63	Professional		$4,322.46	$5,333.63	$5,333.63