Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.19 / $19.19 / $19.19	Facility	26	$19.19	$19.19	$19.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $73.78 / $124.83	Professional		$65.09	$73.78	$124.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $19.19 / $51.94	Professional	26	$18.04	$19.19	$51.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.87 / $34.76 / $58.16	Professional	26	$17.87	$34.76	$58.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $86.92 / $181.51	Professional		$35.81	$86.92	$181.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $28.12 / $50.56	Professional	26	$19.82	$28.12	$50.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $20.77 / $20.77 / $42.89	Facility	26	$20.77	$20.77	$42.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $65.00 / $90.00	Professional		$25.00	$65.00	$90.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $20.77 / $20.77 / $20.77	Professional	26	$20.77	$20.77	$20.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $78.81 / $120.40	Professional		$29.39	$78.81	$120.40
United Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $73.70 / $178.09	Professional		$35.90	$73.70	$178.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.13 / $22.00 / $48.33	Professional	26	$17.13	$22.00	$48.33
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $44.37 / $80.00 / $100.00	Facility	26	$44.37	$80.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $490.88 / $490.88 / $569.17	Professional		$490.88	$490.88	$569.17
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $122.01 / $122.01 / $153.38	Professional	26	$122.01	$122.01	$153.38