Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.87 / $107.88 / $142.93	Facility	26	$83.87	$107.88	$142.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.87 / $90.00 / $375.00	Professional	26	$83.87	$90.00	$375.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.63 / $215.91 / $215.91	Professional	26	$147.63	$215.91	$215.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.81 / $95.81 / $95.81	Facility	26	$95.81	$95.81	$95.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.41 / $160.80 / $252.54	Professional	26	$98.41	$160.80	$252.54
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $116.38 / $141.53 / $220.81	Facility	26	$116.38	$141.53	$220.81
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $141.53 / $141.53 / $141.53	Professional	26	$141.53	$141.53	$141.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.84 / $116.50 / $234.73	Professional	26	$89.84	$116.50	$234.73
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $197.95 / $245.42 / $1,566.00	Facility	26	$197.95	$245.42	$1,566.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $1,566.00 / $1,566.00 / $2,733.83	Professional	26	$1,566.00	$1,566.00	$2,733.83