Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.52 / $61.52 / $61.52	Facility	26	$61.52	$61.52	$61.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $140.16 / $190.30	Professional		$108.34	$140.16	$190.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.97 / $69.97 / $69.97	Facility	26	$69.97	$69.97	$69.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $155.88 / $339.88	Professional		$95.04	$155.88	$339.88
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $62.44 / $80.00 / $111.97	Facility	26	$62.44	$80.00	$111.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $88.00 / $169.00	Professional		$80.00	$88.00	$169.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.57 / $111.68 / $225.59	Professional		$60.57	$111.68	$225.59
United Facility/Professional Professional Modifier Low / Median / High Price $98.43 / $147.63 / $315.32	Professional		$98.43	$147.63	$315.32
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $143.78 / $301.39 / $301.39	Facility	26	$143.78	$301.39	$301.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,037.78 / $1,037.78 / $1,240.15	Professional		$1,037.78	$1,037.78	$1,240.15