Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $141.25 / $331.13	Facility	26	$83.18	$141.25	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $1,071.52	Professional		$281.84	$446.68	$1,071.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $141.25 / $331.13	Professional	26	$83.18	$141.25	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	26	$177.83	$177.83	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $234.42 / $257.04	Professional	26	$147.91	$234.42	$257.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $95.50 / $138.04	Facility	26	$20.42	$95.50	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $676.08 / $1,122.02	Professional		$323.59	$676.08	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $134.90 / $245.47	Professional	26	$75.86	$134.90	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	26	$169.82	$169.82	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $251.19 / $549.54	Professional		$85.11	$251.19	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $870.96	Professional		$302.00	$512.86	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $109.65 / $218.78	Professional	26	$85.11	$109.65	$218.78
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $707.95 / $707.95 / $707.95	Professional	26	$707.95	$707.95	$707.95