Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.14 / $104.14 / $104.14	Facility	26	$104.14	$104.14	$104.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.10 / $234.16 / $367.79	Professional		$190.10	$234.16	$367.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.15 / $118.15 / $118.15	Facility	26	$118.15	$118.15	$118.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.94 / $265.87 / $595.69	Professional		$113.94	$265.87	$595.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $105.46 / $134.00 / $195.16	Facility	26	$105.46	$134.00	$195.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $172.00 / $308.00	Professional		$136.00	$172.00	$308.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $200.70 / $399.84	Professional		$105.17	$200.70	$399.84
United Facility/Professional Professional Modifier Low / Median / High Price $160.71 / $255.15 / $569.41	Professional		$160.71	$255.15	$569.41
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $238.79 / $512.38 / $512.38	Facility	26	$238.79	$512.38	$512.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,539.23 / $1,539.23 / $1,840.20	Professional		$1,539.23	$1,539.23	$1,840.20