Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $451.61 / $528.24 / $717.94	Facility	26	$451.61	$528.24	$717.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $868.89 / $1,241.81	Professional		$740.75	$868.89	$1,241.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $400.06 / $451.61 / $973.69	Professional	26	$400.06	$451.61	$973.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $766.65 / $1,097.80 / $1,452.07	Professional	26	$766.65	$1,097.80	$1,452.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $523.61 / $523.61 / $523.61	Facility	26	$523.61	$523.61	$523.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.68 / $1,264.74 / $2,218.62	Professional		$778.68	$1,264.74	$2,218.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $549.37 / $841.93 / $1,411.04	Professional	26	$549.37	$841.93	$1,411.04
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $817.10 / $916.00 / $1,248.51	Facility	26	$817.10	$916.00	$1,248.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $461.00 / $572.00 / $1,033.00	Professional		$461.00	$572.00	$1,033.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $817.10 / $817.10 / $817.10	Professional	26	$817.10	$817.10	$817.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $615.58 / $723.04 / $1,527.10	Professional		$615.58	$723.04	$1,527.10
United Facility/Professional Professional Modifier Low / Median / High Price $767.10 / $1,072.84 / $2,253.81	Professional		$767.10	$1,072.84	$2,253.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $493.70 / $679.97 / $1,279.97	Professional	26	$493.70	$679.97	$1,279.97
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $3,401.60 / $3,401.60 / $4,284.56	Facility	26	$3,401.60	$3,401.60	$4,284.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,280.00 / $6,280.00 / $7,786.43	Professional		$6,280.00	$6,280.00	$7,786.43
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $5,024.00 / $5,024.00 / $5,024.00	Professional	26	$5,024.00	$5,024.00	$5,024.00