Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $75.86 / $83.18	Facility	26	$20.89	$75.86	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $104.71	Professional		$48.98	$57.54	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $37.15	Facility	26	$5.62	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $151.36	Professional		$51.29	$87.10	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	26	$52.48	$52.48	$52.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $165.96	Professional		$69.18	$69.18	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $128.82	Professional		$53.70	$69.18	$128.82
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $501.19	Professional		$398.11	$398.11	$501.19