Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.25 / $25.48 / $44.45	Facility	26	$25.25	$25.48	$44.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $130.13 / $191.97	Professional		$111.26	$130.13	$191.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.88 / $25.25 / $46.15	Professional	26	$23.88	$25.25	$46.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $66.34 / $66.34	Professional		$66.34	$66.34	$66.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $68.34 / $68.34	Professional		$68.34	$68.34	$68.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.93 / $63.65 / $75.41	Professional	26	$42.93	$63.65	$75.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	26	$34.86	$34.86	$34.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $195.87 / $335.77	Professional		$118.45	$195.87	$335.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.97 / $44.37 / $76.29	Professional	26	$25.97	$44.37	$76.29
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $40.79 / $45.00 / $81.45	Facility	26	$40.79	$45.00	$81.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $106.00 / $142.00	Professional		$36.00	$106.00	$142.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $40.79 / $45.00 / $103.26	Professional	26	$40.79	$45.00	$103.26
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $248.72 / $301.50 / $798.19	Professional	50	$248.72	$301.50	$798.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $109.86 / $186.85	Professional		$34.94	$109.86	$186.85
United Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $161.32 / $305.99	Professional		$118.53	$161.32	$305.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.75 / $37.21 / $73.84	Professional	26	$26.75	$37.21	$73.84
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $80.98 / $148.53 / $148.53	Facility	26	$80.98	$148.53	$148.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $963.76 / $963.76 / $963.76	Professional		$963.76	$963.76	$963.76
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $236.11 / $236.11 / $250.13	Professional	26	$236.11	$236.11	$250.13