Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.38 / $33.13 / $35.94	Facility	26	$22.38	$33.13	$35.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $72.23 / $85.03	Professional		$60.71	$72.23	$85.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $22.38 / $26.36	Professional	26	$20.60	$22.38	$26.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.96 / $29.63 / $65.98	Professional	26	$19.96	$29.63	$65.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.49 / $24.49 / $24.49	Facility	26	$24.49	$24.49	$24.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $107.85 / $184.58	Professional		$77.36	$107.85	$184.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.32 / $34.90 / $60.97	Professional	26	$25.32	$34.90	$60.97
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $26.08 / $26.18 / $34.93	Facility	26	$26.08	$26.18	$34.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $66.04 / $91.00	Professional		$27.00	$66.04	$91.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $26.18 / $26.18 / $26.18	Professional	26	$26.18	$26.18	$26.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $65.25 / $117.04	Professional		$25.95	$65.25	$117.04
United Facility/Professional Professional Modifier Low / Median / High Price $65.29 / $84.57 / $150.93	Professional		$65.29	$84.57	$150.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.13 / $26.64 / $48.48	Professional	26	$20.13	$26.64	$48.48
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $38.22 / $84.96 / $103.36	Facility	26	$38.22	$84.96	$103.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $437.32 / $546.00 / $546.00	Professional		$437.32	$546.00	$546.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $141.18 / $167.40 / $167.40	Professional	26	$141.18	$167.40	$167.40