Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.28 / $27.28 / $27.28	Facility	26	$27.28	$27.28	$27.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $153.66 / $203.81	Professional		$122.74	$153.66	$203.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.71 / $30.71 / $30.71	Facility	26	$30.71	$30.71	$30.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.11 / $165.51 / $357.61	Professional		$81.11	$165.51	$357.61
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.31 / $37.00 / $50.38	Facility	26	$28.31	$37.00	$50.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $133.00 / $168.00	Professional		$35.00	$133.00	$168.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $138.81 / $246.28	Professional		$38.85	$138.81	$246.28
United Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $153.81 / $346.87	Professional		$102.54	$153.81	$346.87
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $76.12 / $128.91 / $128.91	Facility	26	$76.12	$128.91	$128.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,025.66 / $1,025.66 / $1,183.58	Professional		$1,025.66	$1,025.66	$1,183.58