Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.22 / $85.22 / $130.34	Facility	26	$85.22	$85.22	$130.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $147.13 / $214.26	Professional		$130.29	$147.13	$214.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.96 / $97.96 / $97.96	Facility	26	$97.96	$97.96	$97.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $225.86 / $391.59	Professional		$154.00	$225.86	$391.59
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $100.08 / $152.99 / $234.53	Facility	26	$100.08	$152.99	$234.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $114.00 / $191.00	Professional		$78.00	$114.00	$191.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $138.34 / $265.68	Professional		$73.40	$138.34	$265.68
United Facility/Professional Professional Modifier Low / Median / High Price $140.53 / $181.84 / $355.36	Professional		$140.53	$181.84	$355.36
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $156.03 / $417.53 / $417.53	Facility	26	$156.03	$417.53	$417.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $956.27 / $1,216.95 / $1,216.95	Professional		$956.27	$1,216.95	$1,216.95