Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.83 / $16.32 / $126.00	Facility	26	$11.83	$16.32	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $92.93 / $475.00	Professional		$47.47	$92.93	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.83 / $34.21 / $289.11	Professional	26	$11.83	$34.21	$289.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.58 / $68.58 / $87.42	Professional		$68.58	$68.58	$87.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.30 / $21.47 / $23.59	Professional	26	$14.30	$21.47	$23.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.80 / $26.40 / $35.84	Professional	26	$19.80	$26.40	$35.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $110.42 / $196.03	Professional		$57.38	$110.42	$196.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $19.60 / $33.82	Professional	26	$12.76	$19.60	$33.82
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $18.00 / $18.00 / $33.58	Facility	26	$18.00	$18.00	$33.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $53.00 / $94.21	Professional		$16.00	$53.00	$94.21
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $18.00 / $18.00 / $18.00	Professional	26	$18.00	$18.00	$18.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $78.98 / $133.19	Professional		$11.51	$78.98	$133.19
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $92.48 / $149.16	Professional		$51.20	$92.48	$149.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.17 / $18.32 / $36.65	Professional	26	$12.17	$18.32	$36.65
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $27.85 / $80.00 / $80.00	Facility	26	$27.85	$80.00	$80.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $371.18 / $379.80 / $379.80	Professional		$371.18	$379.80	$379.80
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $74.64 / $94.05 / $94.05	Professional	26	$74.64	$94.05	$94.05