Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $195.28 / $195.28 / $436.46	Facility	26	$195.28	$195.28	$436.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.16 / $570.36 / $1,029.33	Professional		$516.16	$570.36	$1,029.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $173.49 / $195.28 / $469.44	Professional	26	$173.49	$195.28	$469.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $290.30 / $437.16 / $553.50	Professional	26	$290.30	$437.16	$553.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $226.99 / $226.99 / $226.99	Facility	26	$226.99	$226.99	$226.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.69 / $925.44 / $1,578.79	Professional		$627.69	$925.44	$1,578.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $213.13 / $311.77 / $535.45	Professional	26	$213.13	$311.77	$535.45
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $290.10 / $290.10 / $489.14	Facility	26	$290.10	$290.10	$489.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $502.00 / $750.00	Professional		$248.00	$502.00	$750.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $290.10 / $290.10 / $290.10	Professional	26	$290.10	$290.10	$290.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $585.54 / $915.88	Professional		$281.93	$585.54	$915.88
United Facility/Professional Professional Modifier Low / Median / High Price $571.02 / $857.87 / $1,586.73	Professional		$571.02	$857.87	$1,586.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $194.70 / $291.27 / $556.29	Professional	26	$194.70	$291.27	$556.29
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $468.94 / $468.94 / $1,008.76	Facility	26	$468.94	$468.94	$1,008.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,771.72 / $3,771.72 / $5,136.53	Professional		$3,771.72	$3,771.72	$5,136.53
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $1,240.24 / $1,240.24 / $1,637.25	Professional	26	$1,240.24	$1,240.24	$1,637.25