Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.12 / $91.17 / $138.80	Facility	26	$84.12	$91.17	$138.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $145.88 / $275.14	Professional		$140.44	$145.88	$275.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $84.12 / $184.37	Professional	26	$77.76	$84.12	$184.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $132.18 / $132.18 / $132.18	Professional	26	$132.18	$132.18	$132.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.88 / $225.88 / $225.88	Professional		$225.88	$225.88	$225.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.60 / $187.64 / $246.05	Professional	26	$138.60	$187.64	$246.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.81 / $106.81 / $106.81	Facility	26	$106.81	$106.81	$106.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.51 / $388.83 / $888.08	Professional		$173.51	$388.83	$888.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.52 / $140.41 / $249.59	Professional	26	$84.52	$140.41	$249.59
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $131.46 / $149.00 / $266.13	Facility	26	$131.46	$149.00	$266.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $111.00 / $215.00	Professional		$102.00	$111.00	$215.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $131.46 / $149.00 / $343.97	Professional	26	$131.46	$149.00	$343.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $346.60 / $993.80	Professional		$235.00	$346.60	$993.80
United Facility/Professional Professional Modifier Low / Median / High Price $165.24 / $303.75 / $515.23	Professional		$165.24	$303.75	$515.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.02 / $119.12 / $224.45	Professional	26	$87.02	$119.12	$224.45
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $217.15 / $445.22 / $445.22	Facility	26	$217.15	$445.22	$445.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,492.82 / $3,492.82 / $3,492.82	Professional		$3,492.82	$3,492.82	$3,492.82
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $632.75 / $632.75 / $759.53	Professional	26	$632.75	$632.75	$759.53