Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.17 / $28.17 / $29.04	Facility	26	$28.17	$28.17	$29.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $177.35 / $260.94	Professional		$138.94	$177.35	$260.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.43 / $31.43 / $31.43	Facility	26	$31.43	$31.43	$31.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $174.85 / $381.30	Professional		$81.81	$174.85	$381.30
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.31 / $36.00 / $51.39	Facility	26	$28.31	$36.00	$51.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $138.00 / $175.00	Professional		$35.00	$138.00	$175.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $153.87 / $271.58	Professional		$39.65	$153.87	$271.58
United Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $156.81 / $414.85	Professional		$88.82	$156.81	$414.85
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $76.12 / $133.66 / $133.66	Facility	26	$76.12	$133.66	$133.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,185.08 / $1,185.08 / $1,295.09	Professional		$1,185.08	$1,185.08	$1,295.09