Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.69 / $25.63 / $39.02	Facility	26	$20.69	$25.63	$39.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $120.37 / $173.95	Professional		$101.56	$120.37	$173.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.69 / $20.69 / $34.11	Professional	26	$19.69	$20.69	$34.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Professional	26	$17.32	$17.32	$17.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $60.80 / $60.80	Professional		$60.80	$60.80	$60.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.26 / $52.65 / $68.90	Professional	26	$34.26	$52.65	$68.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $26.63	Facility	26	$26.63	$26.63	$26.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $173.16 / $303.98	Professional		$98.76	$173.16	$303.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $36.43 / $65.34	Professional	26	$22.52	$36.43	$65.34
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $34.97 / $41.00 / $71.59	Facility	26	$34.97	$41.00	$71.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $106.00 / $145.97	Professional		$31.00	$106.00	$145.97
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $41.00 / $84.57	Professional	26	$34.97	$41.00	$84.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $132.90 / $219.45	Professional		$23.75	$132.90	$219.45
United Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $157.05 / $285.12	Professional		$98.12	$157.05	$285.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.65 / $32.03 / $60.98	Professional	26	$23.65	$32.03	$60.98
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $68.72 / $111.77 / $111.77	Facility	26	$68.72	$111.77	$111.77
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $893.01 / $893.01 / $1,115.78	Professional		$893.01	$893.01	$1,115.78
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $188.00 / $188.00 / $188.00	Professional	26	$188.00	$188.00	$188.00