Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.88 / $83.67 / $88.06	Facility	26	$53.88	$83.67	$88.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.65 / $160.13 / $421.00	Professional		$150.65	$160.13	$421.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $83.67 / $266.10	Professional	26	$49.34	$83.67	$266.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $98.05 / $98.05 / $98.05	Professional	26	$98.05	$98.05	$98.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.02 / $142.02 / $142.02	Professional		$142.02	$142.02	$142.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.56 / $134.46 / $178.08	Professional	26	$88.56	$134.46	$178.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.98 / $106.98 / $106.98	Facility	26	$106.98	$106.98	$106.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.16 / $367.03 / $785.65	Professional		$177.16	$367.03	$785.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.15 / $104.09 / $214.45	Professional	26	$62.15	$104.09	$214.45
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $83.07 / $94.00 / $224.67	Facility	26	$83.07	$94.00	$224.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $117.00 / $236.00	Professional		$70.00	$117.00	$236.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $83.07 / $94.00 / $342.13	Professional	26	$83.07	$94.00	$342.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.95 / $273.89 / $727.40	Professional		$96.95	$273.89	$727.40
United Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $293.75 / $503.34	Professional		$168.90	$293.75	$503.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.35 / $104.10 / $205.25	Professional	26	$56.35	$104.10	$205.25
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $221.69 / $453.39 / $453.39	Facility	26	$221.69	$453.39	$453.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,186.33 / $3,186.33 / $3,186.33	Professional		$3,186.33	$3,186.33	$3,186.33
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $676.01 / $676.01 / $760.80	Professional	26	$676.01	$676.01	$760.80