Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.64 / $29.38 / $49.07	Facility	26	$19.64	$29.38	$49.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $40.43 / $129.06	Professional		$39.64	$40.43	$129.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.01 / $19.64 / $48.39	Professional	26	$19.01	$19.64	$48.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $72.70 / $72.70	Professional		$72.70	$72.70	$72.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.26 / $55.83 / $74.73	Professional	26	$36.26	$55.83	$74.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.10 / $25.10 / $25.10	Facility	26	$25.10	$25.10	$25.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $93.98 / $164.49	Professional		$50.36	$93.98	$164.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.90 / $40.70 / $69.06	Professional	26	$23.90	$40.70	$69.06
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $40.52 / $48.00 / $56.54	Facility	26	$40.52	$48.00	$56.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $93.69 / $165.31	Professional		$31.00	$93.69	$165.31
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $40.77 / $48.00 / $80.33	Professional	26	$40.77	$48.00	$80.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $99.00 / $163.30	Professional		$67.20	$99.00	$163.30
United Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $75.16 / $145.49	Professional		$48.62	$75.16	$145.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.76 / $31.91 / $61.41	Professional	26	$22.76	$31.91	$61.41
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $78.53 / $113.10 / $113.10	Facility	26	$78.53	$113.10	$113.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $497.00 / $497.00	Professional		$497.00	$497.00	$497.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $320.31 / $320.31 / $320.31	Professional	26	$320.31	$320.31	$320.31