Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $93.85 / $142.88	Facility	26	$83.00	$93.85	$142.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.23 / $275.00 / $1,082.95	Professional		$254.23	$275.00	$1,082.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.56 / $85.10 / $246.25	Professional	26	$75.56	$85.10	$246.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.42 / $91.43 / $178.36	Professional	26	$63.42	$91.43	$178.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.25 / $224.25 / $224.25	Professional		$224.25	$224.25	$224.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $139.04 / $198.65 / $260.38	Professional	26	$139.04	$198.65	$260.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.58 / $627.79 / $1,050.76	Professional		$364.58	$627.79	$1,050.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.40 / $133.85 / $245.59	Professional	26	$83.40	$133.85	$245.59
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $118.00 / $131.18 / $236.80	Facility	26	$118.00	$131.18	$236.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $296.00 / $410.00	Professional		$114.00	$296.00	$410.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $118.00 / $131.18 / $313.17	Professional	26	$118.00	$131.18	$313.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $270.30 / $502.96	Professional		$106.31	$270.30	$502.96
United Facility/Professional Professional Modifier Low / Median / High Price $313.95 / $491.63 / $870.86	Professional		$313.95	$491.63	$870.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.31 / $119.51 / $236.25	Professional	26	$87.31	$119.51	$236.25
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $618.08 / $776.08 / $776.08	Facility	26	$618.08	$776.08	$776.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,940.17 / $2,940.17 / $2,940.17	Professional		$2,940.17	$2,940.17	$2,940.17
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $536.20 / $536.20 / $683.18	Professional	26	$536.20	$536.20	$683.18