Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $402.44 / $402.45 / $674.04	Facility	26	$402.44	$402.45	$674.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.37 / $1,372.37 / $2,292.90	Professional		$1,369.37	$1,372.37	$2,292.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.70 / $935.58 / $1,219.52	Professional		$587.70	$935.58	$1,219.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,578.31 / $2,153.96 / $3,641.79	Professional		$1,578.31	$2,153.96	$3,641.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $501.85 / $501.85 / $1,071.28	Facility	26	$501.85	$501.85	$1,071.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,637.11 / $1,637.11 / $1,637.11	Professional		$1,637.11	$1,637.11	$1,637.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,999.90 / $1,999.90 / $1,999.90	Professional		$1,999.90	$1,999.90	$1,999.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,386.62 / $1,929.75 / $3,812.53	Professional		$1,386.62	$1,929.75	$3,812.53
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $2,974.88 / $2,974.88 / $3,621.28	Facility	26	$2,974.88	$2,974.88	$3,621.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,066.29 / $11,086.50 / $11,086.50	Professional		$9,066.29	$11,086.50	$11,086.50