Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.77 / $29.85 / $29.85	Facility	26	$24.77	$29.85	$29.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $112.11 / $271.75	Professional		$93.25	$112.11	$271.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.72 / $31.48 / $57.81	Professional	26	$25.72	$31.48	$57.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.24 / $50.51 / $85.05	Professional	26	$31.24	$50.51	$85.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $78.23 / $216.23	Professional		$48.33	$78.23	$216.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.77 / $30.02 / $65.51	Professional	26	$17.77	$30.02	$65.51
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $33.47 / $53.00 / $65.58	Facility	26	$33.47	$53.00	$65.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $73.59 / $153.26	Professional		$22.56	$73.59	$153.26
United Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $103.70 / $196.55	Professional		$58.72	$103.70	$196.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.61 / $36.02 / $64.67	Professional	26	$21.61	$36.02	$64.67
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $183.07 / $183.07 / $183.07	Facility	26	$183.07	$183.07	$183.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,357.00 / $1,357.00 / $1,357.00	Professional		$1,357.00	$1,357.00	$1,357.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $271.00 / $271.00 / $293.48	Professional	26	$271.00	$271.00	$293.48