Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.79 / $63.02 / $70.61	Facility	26	$41.79	$63.02	$70.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $75.79 / $128.26	Professional		$64.93	$75.79	$128.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.04 / $42.63 / $73.67	Professional	26	$39.04	$42.63	$73.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.32 / $81.29 / $135.27	Professional	26	$38.32	$81.29	$135.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.61 / $46.61 / $46.61	Facility	26	$46.61	$46.61	$46.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $105.55 / $185.49	Professional		$75.06	$105.55	$185.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.57 / $67.00 / $112.94	Professional	26	$47.57	$67.00	$112.94
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $52.26 / $52.62 / $70.16	Facility	26	$52.26	$52.62	$70.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $77.69 / $342.29	Professional		$31.00	$77.69	$342.29
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $52.62 / $52.62 / $52.62	Professional	26	$52.62	$52.62	$52.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $69.37 / $135.91	Professional		$38.77	$69.37	$135.91
United Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $81.34 / $154.11	Professional		$61.43	$81.34	$154.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.27 / $52.37 / $104.49	Professional	26	$38.27	$52.37	$104.49
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $74.72 / $96.12 / $201.64	Facility	26	$74.72	$96.12	$201.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $493.66 / $623.25 / $623.25	Professional		$493.66	$623.25	$623.25
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $264.24 / $327.83 / $327.83	Professional	26	$264.24	$327.83	$327.83