Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.23 / $63.64 / $106.30	Facility	26	$59.23	$63.64	$106.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $104.87 / $162.25	Professional		$78.92	$104.87	$162.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.66 / $59.23 / $127.02	Professional	26	$58.66	$59.23	$127.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.56 / $117.17 / $184.44	Professional	26	$94.56	$117.17	$184.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $189.36 / $333.75	Professional		$119.10	$189.36	$333.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.98 / $106.52 / $169.07	Professional	26	$71.98	$106.52	$169.07
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $97.17 / $111.00 / $178.42	Facility	26	$97.17	$111.00	$178.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.55 / $178.55 / $223.02	Professional		$178.55	$178.55	$223.02
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $98.10 / $98.10 / $98.10	Professional	26	$98.10	$98.10	$98.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.40 / $238.30 / $503.00	Professional		$160.40	$238.30	$503.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.62 / $160.34 / $278.02	Professional		$91.62	$160.34	$278.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.04 / $80.11 / $174.58	Professional	26	$63.04	$80.11	$174.58
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $158.69 / $336.21 / $336.21	Facility	26	$158.69	$336.21	$336.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,748.00 / $1,748.00 / $1,748.00	Professional		$1,748.00	$1,748.00	$1,748.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $496.08 / $496.08 / $543.29	Professional	26	$496.08	$496.08	$543.29