Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.70 / $77.68 / $118.26	Facility	26	$69.70	$77.68	$118.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.50 / $425.00 / $709.39	Professional		$415.50	$425.00	$709.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.70 / $85.00 / $155.65	Professional	26	$69.70	$85.00	$155.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.64 / $142.94 / $227.00	Professional	26	$105.64	$142.94	$227.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.65 / $670.13 / $1,042.32	Professional		$480.65	$670.13	$1,042.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.41 / $116.63 / $192.04	Professional	26	$77.41	$116.63	$192.04
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $82.03 / $109.04 / $193.24	Facility	26	$82.03	$109.04	$193.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $581.52 / $581.52 / $1,149.28	Professional		$581.52	$581.52	$1,149.28
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $109.04 / $109.04 / $109.04	Professional	26	$109.04	$109.04	$109.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $734.40 / $798.30 / $1,179.00	Professional		$734.40	$798.30	$1,179.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.60 / $531.55 / $1,057.80	Professional		$410.60	$531.55	$1,057.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.56 / $89.37 / $169.93	Professional	26	$71.56	$89.37	$169.93
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $512.00 / $646.48 / $646.48	Facility	26	$512.00	$646.48	$646.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,775.50 / $3,500.18 / $3,500.18	Professional		$2,775.50	$3,500.18	$3,500.18
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $439.61 / $563.25 / $563.25	Professional	26	$439.61	$563.25	$563.25