Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.38 / $54.98 / $62.01	Facility	26	$36.38	$54.98	$62.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $70.06 / $163.00	Professional		$59.71	$70.06	$163.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.31 / $36.86 / $59.64	Professional	26	$33.31	$36.86	$59.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.04 / $70.16 / $118.02	Professional	26	$33.04	$70.16	$118.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.09 / $40.09 / $40.09	Facility	26	$40.09	$40.09	$40.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $95.73 / $169.88	Professional		$68.55	$95.73	$169.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.05 / $58.42 / $98.43	Professional	26	$41.05	$58.42	$98.43
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $45.59 / $45.91 / $54.89	Facility	26	$45.59	$45.91	$54.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $52.00 / $83.00	Professional		$31.00	$52.00	$83.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $45.91 / $45.91 / $45.91	Professional	26	$45.91	$45.91	$45.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $62.60 / $124.99	Professional		$34.94	$62.60	$124.99
United Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $71.92 / $134.30	Professional		$55.76	$71.92	$134.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.54 / $48.24 / $94.97	Professional	26	$34.54	$48.24	$94.97
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $63.96 / $85.00 / $173.80	Facility	26	$63.96	$85.00	$173.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $457.11 / $573.83 / $573.83	Professional		$457.11	$573.83	$573.83
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $229.85 / $281.25 / $281.25	Professional	26	$229.85	$281.25	$281.25