Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.39 / $19.80 / $30.14	Facility	26	$16.39	$19.80	$30.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $85.73 / $231.87	Professional		$71.84	$85.73	$231.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $124.67 / $124.67	Professional		$124.67	$124.67	$124.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $47.92 / $47.92	Professional		$47.92	$47.92	$47.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $20.81	Facility	26	$20.81	$20.81	$20.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $120.43 / $224.42	Professional		$73.77	$120.43	$224.42
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $27.35 / $32.00 / $50.06	Facility	26	$27.35	$32.00	$50.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $69.00 / $104.30	Professional		$24.00	$69.00	$104.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $86.90 / $146.94	Professional		$22.60	$86.90	$146.94
United Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $106.96 / $194.64	Professional		$71.50	$106.96	$194.64
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $49.08 / $100.00 / $100.00	Facility	26	$49.08	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $635.08 / $635.08 / $760.80	Professional		$635.08	$635.08	$760.80