Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $270.77 / $270.77 / $453.55	Facility	26	$270.77	$270.77	$453.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.37 / $1,013.99 / $1,611.25	Professional		$1,006.37	$1,013.99	$1,611.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.38 / $639.77 / $821.80	Professional		$396.38	$639.77	$821.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,155.13 / $1,555.24 / $2,629.44	Professional		$1,155.13	$1,555.24	$2,629.44
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $343.18 / $343.18 / $709.49	Facility	26	$343.18	$343.18	$709.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.96 / $1,168.96 / $1,168.96	Professional		$1,168.96	$1,168.96	$1,168.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,395.40 / $1,395.40 / $1,395.40	Professional		$1,395.40	$1,395.40	$1,395.40
United Facility/Professional Professional Modifier Low / Median / High Price $997.51 / $1,377.45 / $2,675.23	Professional		$997.51	$1,377.45	$2,675.23
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $2,007.36 / $2,007.36 / $2,442.64	Facility	26	$2,007.36	$2,007.36	$2,442.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,682.90 / $8,154.83 / $8,154.83	Professional		$6,682.90	$8,154.83	$8,154.83