Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.39 / $66.34 / $100.99	Facility	26	$60.39	$66.34	$100.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.65 / $201.94 / $459.50	Professional		$198.65	$201.94	$459.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.83 / $60.39 / $173.09	Professional	26	$53.83	$60.39	$173.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.56 / $71.15 / $71.15	Professional	26	$45.56	$71.15	$71.15
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 / $136.28 / $183.64	Professional	26	$100.38	$136.28	$183.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $504.76 / $885.85	Professional		$274.95	$504.76	$885.85
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 / $91.56 / $186.59	Facility	26	$83.00	$91.56	$186.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $258.00 / $338.00	Professional		$80.00	$258.00	$338.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $83.00 / $91.56 / $222.24	Professional	26	$83.00	$91.56	$222.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.26 / $186.39 / $327.19	Professional		$75.26	$186.39	$327.19
United Facility/Professional Professional Modifier Low / Median / High Price $234.22 / $395.43 / $670.71	Professional		$234.22	$395.43	$670.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.32 / $82.82 / $171.16	Professional	26	$61.32	$82.82	$171.16
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $436.88 / $549.76 / $549.76	Facility	26	$436.88	$549.76	$549.76
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