Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $93.33 / $199.53	Facility	26	$58.88	$93.33	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $851.14	Professional		$281.84	$331.13	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $66.07 / $162.18	Professional	26	$50.12	$66.07	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $158.49 / $186.21	Professional	26	$91.20	$158.49	$186.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $74.13 / $104.71	Facility	26	$15.85	$74.13	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $575.44 / $954.99	Professional		$302.00	$575.44	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $117.49 / $190.55	Professional	26	$74.13	$117.49	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Professional	26	$123.03	$123.03	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $776.25 / $954.99	Professional		$302.00	$776.25	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $933.25	Professional		$295.12	$457.09	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $89.13 / $181.97	Professional	26	$66.07	$89.13	$181.97
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	26	$416.87	$416.87	$416.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,818.38	Professional		$2,238.72	$2,238.72	$2,818.38
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $602.56 / $602.56 / $602.56	Professional	26	$602.56	$602.56	$602.56