Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.42 / $94.36 / $375.00	Facility	26	$68.42	$94.36	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.42 / $90.00 / $375.00	Professional	26	$68.42	$90.00	$375.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $162.53 / $162.53 / $162.53	Professional	26	$162.53	$162.53	$162.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.23 / $132.97 / $202.25	Professional	26	$76.23	$132.97	$202.25
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $80.23 / $113.14 / $211.25	Facility	26	$80.23	$113.14	$211.25
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $108.54 / $108.54 / $108.54	Professional	26	$108.54	$108.54	$108.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.44 / $93.06 / $189.96	Professional	26	$69.44	$93.06	$189.96
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $497.44 / $497.44 / $628.16	Facility	26	$497.44	$497.44	$628.16
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $2,062.23 / $2,062.23 / $3,244.00	Professional	26	$2,062.23	$2,062.23	$3,244.00