Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.14 / $43.68 / $66.50	Facility	26	$36.14	$43.68	$66.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $92.18 / $259.64	Professional		$86.41	$92.18	$259.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.69 / $36.14 / $65.17	Professional	26	$32.69	$36.14	$65.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $105.62 / $105.62	Professional		$105.62	$105.62	$105.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.76 / $83.85 / $117.19	Professional	26	$63.76	$83.85	$117.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.27 / $47.27 / $47.27	Facility	26	$47.27	$47.27	$47.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $161.68 / $270.83	Professional		$97.44	$161.68	$270.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.06 / $63.85 / $113.10	Professional	26	$38.06	$63.85	$113.10
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $58.91 / $70.00 / $108.69	Facility	26	$58.91	$70.00	$108.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $60.00 / $140.00	Professional		$53.00	$60.00	$140.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $58.91 / $70.00 / $147.79	Professional	26	$58.91	$70.00	$147.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $153.90 / $204.40	Professional		$87.80	$153.90	$204.40
United Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $135.32 / $245.66	Professional		$92.54	$135.32	$245.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.34 / $55.99 / $107.20	Professional	26	$41.34	$55.99	$107.20
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $207.39 / $207.39	Facility	26	$100.00	$207.39	$207.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $703.95 / $703.95 / $931.80	Professional		$703.95	$703.95	$931.80
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $282.35 / $282.35 / $336.60	Professional	26	$282.35	$282.35	$336.60