Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.73 / $96.91 / $139.87	Facility	26	$75.73	$96.91	$139.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $119.31 / $228.95	Professional		$119.31	$119.31	$228.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.47 / $95.47 / $95.47	Facility	26	$95.47	$95.47	$95.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.29 / $248.90 / $368.64	Professional		$151.29	$248.90	$368.64
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $127.97 / $160.13 / $309.67	Facility	26	$127.97	$160.13	$309.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $111.00 / $173.00	Professional		$62.00	$111.00	$173.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $275.80 / $350.60	Professional		$236.30	$275.80	$350.60
United Facility/Professional Professional Modifier Low / Median / High Price $135.49 / $197.84 / $372.60	Professional		$135.49	$197.84	$372.60
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $198.65 / $198.65 / $464.00	Facility	26	$198.65	$198.65	$464.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,114.00 / $1,114.00 / $1,114.00	Professional		$1,114.00	$1,114.00	$1,114.00