Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.67 / $54.04 / $79.15	Facility	26	$46.67	$54.04	$79.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $199.67 / $384.67	Professional		$172.58	$199.67	$384.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $54.04 / $104.88	Professional	26	$42.60	$54.04	$104.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.12 / $50.41 / $55.53	Professional	26	$44.12	$50.41	$55.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $123.98 / $123.98	Professional		$123.98	$123.98	$123.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.31 / $106.48 / $139.71	Professional	26	$76.31	$106.48	$139.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.29 / $68.29 / $68.29	Facility	26	$68.29	$68.29	$68.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.56 / $299.50 / $549.13	Professional		$162.56	$299.50	$549.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.16 / $86.36 / $146.49	Professional	26	$50.16	$86.36	$146.49
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $71.48 / $82.00 / $143.99	Facility	26	$71.48	$82.00	$143.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $203.00 / $267.58	Professional		$63.00	$203.00	$267.58
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $71.48 / $82.00 / $220.95	Professional	26	$71.48	$82.00	$220.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $194.81 / $297.20	Professional		$75.25	$194.81	$297.20
United Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $266.83 / $516.32	Professional		$174.52	$266.83	$516.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.25 / $73.76 / $129.62	Professional	26	$48.25	$73.76	$129.62
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $140.44 / $290.64 / $290.64	Facility	26	$140.44	$290.64	$290.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,471.51 / $1,471.51 / $1,803.15	Professional		$1,471.51	$1,471.51	$1,803.15
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $378.45 / $378.45 / $476.93	Professional	26	$378.45	$378.45	$476.93