Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $54.95 / $154.88	Facility	26	$37.15	$54.95	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $269.15	Professional		$89.13	$114.82	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $50.12 / $123.03	Professional	26	$33.11	$50.12	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $39.81 / $89.13	Professional	26	$36.31	$39.81	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.13 / $95.50	Professional	26	$54.95	$74.13	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $54.95 / $79.43	Facility	26	$11.75	$54.95	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $275.42	Professional		$85.11	$151.36	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $57.54 / $104.71	Professional	26	$36.31	$57.54	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Professional	26	$61.66	$61.66	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $436.52	Professional		$81.28	$158.49	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $234.42	Professional		$89.13	$128.82	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $43.65 / $85.11	Professional	26	$33.11	$43.65	$85.11
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	26	$309.03	$309.03	$309.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $891.25	Professional		$794.33	$794.33	$891.25
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $309.03 / $309.03 / $389.05	Professional	26	$309.03	$309.03	$389.05