Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $85.11 / $194.98	Facility	26	$30.90	$85.11	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $186.21	Professional		$47.86	$67.61	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.90 / $89.13	Professional	26	$30.20	$38.90	$89.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	50	$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $91.20 / $141.25	Professional	26	$57.54	$91.20	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $39.81 / $56.23	Facility	26	$8.51	$39.81	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $213.80	Professional		$61.66	$128.82	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $66.07 / $109.65	Professional	26	$36.31	$66.07	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $204.17	Professional		$109.65	$123.03	$204.17
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $74.13 / $87.10	Professional	26	$70.79	$74.13	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $407.38	Professional		$117.49	$181.97	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $181.97	Professional		$60.26	$102.33	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $52.48 / $97.72	Professional	26	$34.67	$52.48	$97.72
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	26	$302.00	$302.00	$302.00