Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.76 / $81.55 / $124.14	Facility	26	$67.76	$81.55	$124.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $165.52 / $419.08	Professional		$151.44	$165.52	$419.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.89 / $67.77 / $118.85	Professional	26	$64.89	$67.77	$118.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.02 / $193.02 / $193.02	Professional		$193.02	$193.02	$193.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.97 / $148.94 / $223.94	Professional	26	$106.97	$148.94	$223.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.87 / $86.87 / $86.87	Facility	26	$86.87	$86.87	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $246.52 / $436.25	Professional		$158.49	$246.52	$436.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.03 / $113.83 / $196.60	Professional	26	$71.03	$113.83	$196.60
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $112.65 / $128.00 / $186.78	Facility	26	$112.65	$128.00	$186.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $215.00 / $625.55	Professional		$99.00	$215.00	$625.55
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $112.65 / $128.00 / $277.07	Professional	26	$112.65	$128.00	$277.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $242.00 / $383.10	Professional		$165.90	$242.00	$383.10
United Facility/Professional Professional Modifier Low / Median / High Price $152.15 / $204.02 / $414.30	Professional		$152.15	$204.02	$414.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.34 / $93.73 / $198.78	Professional	26	$69.34	$93.73	$198.78
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $179.26 / $376.39 / $376.39	Facility	26	$179.26	$376.39	$376.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,115.94 / $1,115.94 / $1,452.60	Professional		$1,115.94	$1,115.94	$1,452.60
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $476.34 / $476.34 / $610.04	Professional	26	$476.34	$476.34	$610.04