Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.37 / $16.84 / $25.63	Facility	26	$13.37	$16.84	$25.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $82.41 / $113.94	Professional		$68.09	$82.41	$113.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $13.37 / $25.94	Professional	26	$12.53	$13.37	$25.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.87 / $34.04 / $44.53	Professional	26	$23.87	$34.04	$44.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $123.08 / $224.96	Professional		$73.01	$123.08	$224.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.25 / $23.78 / $41.32	Professional	26	$14.25	$23.78	$41.32
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $21.00 / $22.68 / $40.86	Facility	26	$21.00	$22.68	$40.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $76.00 / $113.00	Professional		$20.00	$76.00	$113.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $21.00 / $22.68 / $22.68	Professional	26	$21.00	$22.68	$22.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $106.70 / $179.60	Professional		$77.59	$106.70	$179.60
United Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $116.17 / $213.31	Professional		$71.89	$116.17	$213.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $20.62 / $40.04	Professional	26	$14.80	$20.62	$40.04
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $137.84 / $137.84	Facility	26	$110.00	$137.84	$137.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $611.40 / $611.40 / $867.00	Professional		$611.40	$611.40	$867.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $163.46 / $163.46 / $163.46	Professional	26	$163.46	$163.46	$163.46