Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.00 / $41.00 / $42.37	Facility	26	$41.00	$41.00	$42.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $105.51 / $141.88	Professional		$77.98	$105.51	$141.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.68 / $46.68 / $46.68	Facility	26	$46.68	$46.68	$46.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $117.79 / $259.55	Professional		$75.16	$117.79	$259.55
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $42.00 / $54.00 / $75.92	Facility	26	$42.00	$54.00	$75.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $68.00 / $121.00	Professional		$53.00	$68.00	$121.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $98.84 / $184.48	Professional		$53.49	$98.84	$184.48
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $111.65 / $225.90	Professional		$71.55	$111.65	$225.90
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $204.11 / $204.11	Facility	26	$100.00	$204.11	$204.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $706.46 / $706.46 / $866.33	Professional		$706.46	$706.46	$866.33