Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.29 / $41.87 / $41.87	Facility	26	$35.29	$41.87	$41.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $97.98 / $162.63	Professional		$89.12	$97.98	$162.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.83 / $42.55 / $67.19	Professional	26	$36.83	$42.55	$67.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $64.36 / $134.99	Professional	26	$43.82	$64.36	$134.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $97.98 / $253.47	Professional		$58.80	$97.98	$253.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.84 / $42.55 / $111.82	Professional	26	$24.84	$42.55	$111.82
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $65.20 / $89.67 / $117.06	Facility	26	$65.20	$89.67	$117.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $106.19 / $106.19	Professional		$106.19	$106.19	$106.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $70.42 / $233.79	Professional		$31.65	$70.42	$233.79
United Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $126.73 / $275.72	Professional		$77.59	$126.73	$275.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.77 / $51.97 / $115.48	Professional	26	$33.77	$51.97	$115.48
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $317.04 / $317.04 / $317.04	Facility	26	$317.04	$317.04	$317.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,000.49 / $1,000.49 / $1,047.23	Professional		$1,000.49	$1,000.49	$1,047.23
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $410.10 / $415.79 / $415.79	Professional	26	$410.10	$415.79	$415.79