Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $75.86	Facility	26	$52.48	$52.48	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $346.74	Professional		$173.78	$194.98	$346.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $85.11	Facility	26	$12.59	$58.88	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $537.03	Professional		$162.18	$251.19	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	26	$79.43	$79.43	$79.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $186.21 / $389.05	Professional		$56.23	$186.21	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $416.87	Professional		$138.04	$213.80	$416.87
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,513.56	Professional		$1,318.26	$1,318.26	$1,513.56