Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $120.23 / $257.04	Facility	26	$75.86	$120.23	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $331.13	Professional		$100.00	$134.90	$331.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $95.50 / $134.90	Facility	26	$20.42	$95.50	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $371.54	Professional		$151.36	$251.19	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Professional	26	$158.49	$158.49	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $354.81	Professional		$263.03	$302.00	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $363.08	Professional		$134.90	$199.53	$363.08
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02