Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	26	$19.14	$19.14	$19.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $83.34 / $145.66	Professional		$73.34	$83.34	$145.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.16 / $22.16 / $22.16	Facility	26	$22.16	$22.16	$22.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $92.15 / $208.75	Professional		$35.56	$92.15	$208.75
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $19.67 / $25.00 / $34.85	Facility	26	$19.67	$25.00	$34.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $91.00 / $116.00	Professional		$25.00	$91.00	$116.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $84.89 / $143.13	Professional		$27.70	$84.89	$143.13
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $92.39 / $210.02	Professional		$39.31	$92.39	$210.02
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $46.52 / $126.65 / $126.65	Facility	26	$46.52	$126.65	$126.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $554.82 / $554.82 / $673.43	Professional		$554.82	$554.82	$673.43