Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.12 / $34.63 / $48.48	Facility	26	$22.12	$34.63	$48.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $110.32 / $220.64	Professional		$96.60	$110.32	$220.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $34.63 / $67.23	Professional	26	$20.17	$34.63	$67.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.38 / $29.71 / $66.14	Professional	26	$28.38	$29.71	$66.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $58.92 / $58.92	Professional		$58.92	$58.92	$58.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.53 / $53.62 / $66.36	Professional	26	$36.53	$53.62	$66.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $160.58 / $284.35	Professional		$86.01	$160.58	$284.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.66 / $43.27 / $88.28	Professional	26	$25.66	$43.27	$88.28
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $33.93 / $39.00 / $76.00	Facility	26	$33.93	$39.00	$76.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $99.00 / $137.91	Professional		$30.00	$99.00	$137.91
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $33.93 / $39.00 / $141.61	Professional	26	$33.93	$39.00	$141.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $110.45 / $195.03	Professional		$47.95	$110.45	$195.03
United Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $139.34 / $273.38	Professional		$92.17	$139.34	$273.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.94 / $41.86 / $79.53	Professional	26	$22.94	$41.86	$79.53
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $187.10 / $187.10	Facility	26	$90.38	$187.10	$187.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $810.58 / $810.58 / $1,004.40	Professional		$810.58	$810.58	$1,004.40
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $242.65 / $242.65 / $307.35	Professional	26	$242.65	$242.65	$307.35