Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $251.19 / $549.54	Facility	26	$141.25	$251.19	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $1,412.54	Professional		$398.11	$524.81	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $831.76	Professional		$645.65	$645.65	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $158.49 / $229.09	Facility	26	$33.88	$158.49	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $954.99 / $1,584.89	Professional		$501.19	$954.99	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	26	$257.04	$257.04	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $2,041.74	Professional		$776.25	$1,023.29	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $1,288.25	Professional		$478.63	$758.58	$1,288.25
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	26	$1,288.25	$1,288.25	$1,288.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87