Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.01 / $63.75 / $97.06	Facility	26	$58.01	$63.75	$97.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.51 / $247.65 / $621.79	Professional		$226.51	$247.65	$621.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.41 / $58.01 / $146.25	Professional	26	$51.41	$58.01	$146.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.18 / $185.18 / $185.18	Professional		$185.18	$185.18	$185.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.32 / $48.32 / $48.32	Professional	26	$48.32	$48.32	$48.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $152.68 / $152.68	Professional		$152.68	$152.68	$152.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.55 / $120.75 / $174.80	Professional	26	$95.55	$120.75	$174.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.94 / $503.04 / $846.64	Professional		$307.94	$503.04	$846.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.66 / $94.94 / $166.81	Professional	26	$55.66	$94.94	$166.81
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $87.93 / $179.27	Facility	26	$80.00	$87.93	$179.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $269.00 / $346.00	Professional		$77.00	$269.00	$346.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $80.00 / $87.93 / $213.48	Professional	26	$80.00	$87.93	$213.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $228.60 / $415.80	Professional		$71.54	$228.60	$415.80
United Facility/Professional Professional Modifier Low / Median / High Price $265.05 / $400.99 / $741.56	Professional		$265.05	$400.99	$741.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.69 / $84.63 / $164.89	Professional	26	$58.69	$84.63	$164.89
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $414.72 / $522.72 / $522.72	Facility	26	$414.72	$522.72	$522.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,022.16 / $2,077.23 / $2,077.23	Professional		$2,022.16	$2,077.23	$2,077.23
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $394.61 / $394.61 / $456.90	Professional	26	$394.61	$394.61	$456.90