Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.92 / $30.92 / $45.07	Facility	26	$30.92	$30.92	$45.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $171.54 / $171.54	Professional		$46.02	$171.54	$171.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $30.92 / $41.58	Professional	26	$26.07	$30.92	$41.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.73 / $53.84 / $82.85	Professional	26	$21.73	$53.84	$82.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.81 / $35.81 / $35.81	Facility	26	$35.81	$35.81	$35.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Professional		$158.02	$158.02	$158.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $28.27	Professional	26	$28.27	$28.27	$28.27
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.93 / $28.93 / $71.73	Facility	26	$28.93	$28.93	$71.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $49.16 / $49.16	Professional		$49.16	$49.16	$49.16
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $28.93 / $28.93 / $28.93	Professional	26	$28.93	$28.93	$28.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $487.50 / $487.50 / $487.50	Professional		$487.50	$487.50	$487.50
United Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $114.33 / $324.08	Professional		$71.17	$114.33	$324.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $43.83 / $85.52	Professional	26	$28.41	$43.83	$85.52
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $60.51 / $85.00 / $159.16	Facility	26	$60.51	$85.00	$159.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,146.60 / $1,491.38 / $1,491.38	Professional		$1,146.60	$1,491.38	$1,491.38
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $196.77 / $256.88 / $256.88	Professional	26	$196.77	$256.88	$256.88