Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.70 / $93.43 / $142.24	Facility	26	$84.70	$93.43	$142.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.88 / $400.00 / $755.94	Professional		$279.88	$400.00	$755.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.70 / $111.15 / $277.22	Professional	26	$84.70	$111.15	$277.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $555.94 / $555.94 / $555.94	Professional		$555.94	$555.94	$555.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.89 / $177.23 / $177.23	Professional	26	$78.89	$177.23	$177.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.18 / $241.18 / $241.18	Professional		$241.18	$241.18	$241.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $151.50 / $226.35 / $259.24	Professional	26	$151.50	$226.35	$259.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $96.46	Facility	26	$96.46	$96.46	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.77 / $699.71 / $1,300.07	Professional		$361.77	$699.71	$1,300.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.05 / $144.84 / $249.76	Professional	26	$88.05	$144.84	$249.76
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $138.65 / $159.00 / $264.00	Facility	26	$138.65	$159.00	$264.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $290.00 / $550.00	Professional		$113.00	$290.00	$550.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $138.65 / $138.65 / $311.70	Professional	26	$138.65	$138.65	$311.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $277.86 / $461.51	Professional		$86.57	$277.86	$461.51
United Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $558.28 / $890.34	Professional		$299.83	$558.28	$890.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.46 / $121.14 / $246.67	Professional	26	$88.46	$121.14	$246.67
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $612.55 / $771.20 / $771.20	Facility	26	$612.55	$771.20	$771.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,584.85 / $3,584.85 / $3,584.85	Professional		$3,584.85	$3,584.85	$3,584.85
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $701.72 / $701.72 / $701.72	Professional	26	$701.72	$701.72	$701.72