Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.42 / $21.91 / $36.70	Facility	26	$18.42	$21.91	$36.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.17 / $77.81 / $207.10	Professional		$63.17	$77.81	$207.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $25.65 / $70.43	Professional	26	$16.71	$25.65	$70.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $123.43 / $123.43	Professional		$123.43	$123.43	$123.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.18 / $20.72 / $44.12	Professional	26	$18.18	$20.72	$44.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $45.18 / $45.18	Professional		$45.18	$45.18	$45.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.45 / $37.93 / $49.85	Professional	26	$28.45	$37.93	$49.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $27.80 / $27.80	Facility	26	$27.80	$27.80	$27.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $159.91 / $290.49	Professional		$86.40	$159.91	$290.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.87 / $32.13 / $59.35	Professional	26	$18.87	$32.13	$59.35
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $26.64 / $30.00 / $64.09	Facility	26	$26.64	$30.00	$64.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $242.24	Professional		$22.00	$22.00	$242.24
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $30.00 / $89.57	Professional	26	$26.64	$30.00	$89.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $77.61 / $207.20	Professional		$25.54	$77.61	$207.20
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $134.79 / $503.24	Professional		$71.31	$134.79	$503.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.47 / $30.21 / $52.87	Professional	26	$18.47	$30.21	$52.87
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $58.07 / $120.22 / $120.22	Facility	26	$58.07	$120.22	$120.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $697.16 / $697.16 / $697.16	Professional		$697.16	$697.16	$697.16
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $153.55 / $153.55 / $196.13	Professional	26	$153.55	$153.55	$196.13