Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $138.04 / $323.59	Facility	26	$89.13	$138.04	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $812.83	Professional		$251.19	$436.52	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $109.65 / $158.49	Facility	26	$23.44	$109.65	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $954.99	Professional		$263.03	$467.74	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	26	$138.04	$138.04	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $741.31	Professional		$234.42	$354.81	$741.31
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	26	$562.34	$562.34	$562.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,388.44	Professional		$2,884.03	$2,884.03	$3,388.44