Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.87 / $39.03 / $51.18	Facility	26	$27.87	$39.03	$51.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $74.19 / $153.08	Professional		$46.47	$74.19	$153.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.88 / $55.81 / $102.45	Professional	26	$27.88	$55.81	$102.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $81.03 / $81.70	Professional		$64.84	$81.03	$81.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.29 / $39.36 / $48.80	Professional	26	$38.29	$39.36	$48.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.03 / $59.13 / $84.89	Professional	26	$38.03	$59.13	$84.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $73.41 / $111.91	Professional		$48.62	$73.41	$111.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.35 / $49.10 / $68.94	Professional	26	$35.35	$49.10	$68.94
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $32.81 / $38.00 / $67.41	Facility	26	$32.81	$38.00	$67.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $121.60	Professional		$57.58	$57.58	$121.60
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $37.65 / $37.65	Professional	26	$37.65	$37.65	$37.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $89.10 / $124.10	Professional		$59.60	$89.10	$124.10
United Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $60.47 / $132.52	Professional		$43.70	$60.47	$132.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.14 / $40.15 / $78.81	Professional	26	$28.14	$40.15	$78.81
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $70.61 / $137.18 / $137.18	Facility	26	$70.61	$137.18	$137.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $348.00 / $422.33	Professional		$348.00	$348.00	$422.33
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $210.00 / $210.00 / $248.55	Professional	26	$210.00	$210.00	$248.55