Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.39 / $48.40 / $99.25	Facility	26	$48.39	$48.40	$99.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.72 / $217.39 / $275.48	Professional		$194.72	$217.39	$275.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $153.34 / $427.22	Professional		$74.64	$153.34	$427.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $91.83 / $92.36 / $99.33	Facility	26	$91.83	$92.36	$99.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $50.13 / $212.97	Professional		$50.13	$50.13	$212.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $170.20 / $466.05	Professional		$56.81	$170.20	$466.05
United Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $158.81 / $365.95	Professional		$89.93	$158.81	$365.95
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $142.34 / $297.87 / $297.87	Facility	26	$142.34	$297.87	$297.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,810.20 / $1,810.20 / $2,249.85	Professional		$1,810.20	$1,810.20	$2,249.85