Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $83.18 / $213.80	Facility	26	$56.23	$83.18	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $331.13	Professional		$107.15	$134.90	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $125.89	Professional		$97.72	$102.33	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $77.62 / $112.20	Facility	26	$16.60	$77.62	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $331.13	Professional		$114.82	$190.55	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Professional	26	$93.33	$93.33	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $512.86	Professional		$95.50	$204.17	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $288.40	Professional		$120.23	$154.88	$288.40
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	26	$426.58	$426.58	$426.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26