Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.88 / $69.80 / $101.62	Facility	26	$43.88	$69.80	$101.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $62.47 / $88.87	Professional		$56.07	$62.47	$88.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $43.88 / $62.23	Professional	26	$38.90	$43.88	$62.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $62.42 / $62.42	Professional		$62.42	$62.42	$62.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.84 / $63.04 / $151.55	Professional	26	$41.84	$63.04	$151.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.53 / $50.53 / $50.53	Facility	26	$50.53	$50.53	$50.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $94.44 / $161.85	Professional		$66.76	$94.44	$161.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.09 / $67.27 / $116.74	Professional	26	$47.09	$67.27	$116.74
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $42.58 / $54.04 / $83.31	Facility	26	$42.58	$54.04	$83.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $62.00 / $90.00	Professional		$28.00	$62.00	$90.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $54.04 / $54.04 / $54.04	Professional	26	$54.04	$54.04	$54.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $69.06 / $114.94	Professional		$29.57	$69.06	$114.94
United Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $77.88 / $157.25	Professional		$58.72	$77.88	$157.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.39 / $56.46 / $113.48	Professional	26	$42.39	$56.46	$113.48
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $80.17 / $222.92 / $222.92	Facility	26	$80.17	$222.92	$222.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $404.18 / $529.79 / $529.79	Professional		$404.18	$529.79	$529.79
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $278.89 / $356.10 / $356.10	Professional	26	$278.89	$356.10	$356.10