Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $72.44 / $173.78	Facility	26	$43.65	$72.44	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $263.03	Professional		$77.62	$104.71	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $57.54 / $151.36	Professional	26	$40.74	$57.54	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $181.97	Professional		$141.25	$141.25	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $75.86 / $186.21	Professional	26	$47.86	$75.86	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $91.20 / $117.49	Professional	26	$54.95	$91.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $208.93	Professional		$97.72	$131.83	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $117.49	Professional	26	$52.48	$69.18	$117.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $104.71 / $213.80	Professional		$10.00	$104.71	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $181.97	Professional		$77.62	$112.20	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $60.26 / $102.33	Professional	26	$42.66	$60.26	$102.33
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	26	$275.42	$275.42	$275.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $758.58	Professional		$616.60	$616.60	$758.58
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $316.23 / $316.23 / $407.38	Professional	26	$316.23	$316.23	$407.38