Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $91.20 / $239.88	Facility	26	$60.26	$91.20	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $724.44	Professional		$194.98	$275.42	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $177.83	Professional	26	$51.29	$66.07	$177.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $50.12 / $63.10	Professional	26	$44.67	$50.12	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $134.90 / $186.21	Professional	26	$97.72	$134.90	$186.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $69.18 / $97.72	Facility	26	$14.79	$69.18	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $478.63 / $776.25	Professional		$239.88	$478.63	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $91.20 / $169.82	Professional	26	$52.48	$91.20	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Professional	26	$112.20	$112.20	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $181.97 / $389.05	Professional		$60.26	$181.97	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $630.96	Professional		$218.78	$371.54	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $75.86 / $144.54	Professional	26	$58.88	$75.86	$144.54
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	26	$549.54	$549.54	$549.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	26	$524.81	$524.81	$524.81