Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.76 / $100.03 / $155.91	Facility	26	$81.76	$100.03	$155.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $314.89 / $875.73	Professional		$153.88	$314.89	$875.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.08 / $94.16 / $305.77	Professional	26	$80.08	$94.16	$305.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.84 / $269.45 / $391.94	Professional		$169.84	$269.45	$391.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $113.30 / $147.32 / $202.03	Professional	26	$113.30	$147.32	$202.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.10 / $245.10 / $245.10	Professional		$245.10	$245.10	$245.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $127.95 / $189.70 / $271.47	Professional	26	$127.95	$189.70	$271.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.92 / $102.92 / $102.92	Facility	26	$102.92	$102.92	$102.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $292.39 / $473.56	Professional		$181.08	$292.39	$473.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.26 / $138.52 / $249.83	Professional	26	$86.26	$138.52	$249.83
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $133.88 / $189.00 / $221.77	Facility	26	$133.88	$189.00	$221.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $232.00 / $629.24	Professional		$107.00	$232.00	$629.24
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $133.88 / $189.00 / $334.36	Professional	26	$133.88	$189.00	$334.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $149.24 / $291.69	Professional		$83.61	$149.24	$291.69
United Facility/Professional Professional Modifier Low / Median / High Price $172.45 / $241.74 / $469.14	Professional		$172.45	$241.74	$469.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.84 / $123.69 / $247.98	Professional	26	$85.84	$123.69	$247.98
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $213.26 / $442.37 / $442.37	Facility	26	$213.26	$442.37	$442.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,466.63 / $1,466.63 / $1,511.77	Professional		$1,466.63	$1,466.63	$1,511.77
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $625.94 / $625.94 / $713.48	Professional	26	$625.94	$625.94	$713.48