Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $691.83	Professional		$338.84	$389.05	$691.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $125.89 / $181.97	Facility	26	$26.92	$125.89	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $1,023.29	Professional		$309.03	$501.19	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	26	$199.53	$199.53	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $354.81 / $741.31	Professional		$114.82	$354.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $794.33	Professional		$263.03	$416.87	$794.33
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	26	$676.08	$676.08	$676.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,235.94	Professional		$2,570.40	$2,570.40	$3,235.94