Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $64.57 / $186.21	Facility	26	$53.70	$64.57	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $588.84	Professional		$165.96	$213.80	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $58.88 / $138.04	Professional	26	$42.66	$58.88	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $54.95 / $125.89	Professional	26	$45.71	$54.95	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $109.65 / $141.25	Professional	26	$75.86	$109.65	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $67.61 / $97.72	Facility	26	$14.45	$67.61	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $549.54	Professional		$162.18	$295.12	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $81.28 / $147.91	Professional	26	$48.98	$81.28	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $426.58 / $870.96	Professional		$181.97	$426.58	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $457.09	Professional		$165.96	$245.47	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $66.07 / $125.89	Professional	26	$47.86	$66.07	$125.89
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,819.70	Professional		$1,479.11	$1,479.11	$1,819.70
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $380.19 / $380.19 / $478.63	Professional	26	$380.19	$380.19	$478.63