Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $236.60 / $236.60 / $393.38	Facility	26	$236.60	$236.60	$393.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.88 / $280.88 / $352.78	Professional		$257.88	$280.88	$352.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $265.56 / $265.56 / $265.56	Facility	26	$265.56	$265.56	$265.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.23 / $491.55 / $733.02	Professional		$309.23	$491.55	$733.02
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $273.79 / $332.00 / $438.00	Facility	26	$273.79	$332.00	$438.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $326.00 / $480.00	Professional		$41.00	$326.00	$480.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $278.02 / $500.71	Professional		$56.19	$278.02	$500.71
United Facility/Professional Professional Modifier Low / Median / High Price $255.98 / $349.70 / $614.19	Professional		$255.98	$349.70	$614.19
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $546.99 / $592.02 / $1,143.14	Facility	26	$546.99	$592.02	$1,143.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,266.00 / $3,530.08 / $3,530.08	Professional		$2,266.00	$3,530.08	$3,530.08