Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.67 / $66.34 / $100.99	Facility	26	$60.67	$66.34	$100.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.25 / $201.26 / $439.26	Professional		$201.25	$201.26	$439.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.50 / $60.67 / $170.68	Professional	26	$53.50	$60.67	$170.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.31 / $188.88 / $188.88	Professional	26	$46.31	$188.88	$188.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $158.22 / $158.22	Professional		$158.22	$158.22	$158.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.38 / $134.16 / $183.64	Professional	26	$100.38	$134.16	$183.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.86 / $503.14 / $888.22	Professional		$271.86	$503.14	$888.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.33 / $98.70 / $173.58	Professional	26	$58.33	$98.70	$173.58
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $91.41 / $192.92	Facility	26	$83.00	$91.41	$192.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $257.00 / $337.00	Professional		$80.00	$257.00	$337.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $83.00 / $91.41 / $223.27	Professional	26	$83.00	$91.41	$223.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $184.56 / $325.00	Professional		$74.88	$184.56	$325.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.86 / $398.63 / $664.32	Professional		$233.86	$398.63	$664.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.32 / $83.74 / $170.89	Professional	26	$61.32	$83.74	$170.89
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $434.48 / $546.72 / $546.72	Facility	26	$434.48	$546.72	$546.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,362.66 / $2,362.66 / $2,362.66	Professional		$2,362.66	$2,362.66	$2,362.66
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $523.40 / $523.40 / $523.40	Professional	26	$523.40	$523.40	$523.40