Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $97.72 / $229.09	Facility	26	$50.12	$97.72	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $467.74	Professional		$104.71	$213.80	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $239.88	Professional		$75.86	$104.71	$239.88
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 $13.49 / $63.10 / $91.20	Facility	26	$13.49	$63.10	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $316.23	Professional		$114.82	$173.78	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $269.15	Professional		$177.83	$223.87	$269.15
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $102.33 / $123.03	Professional	26	$81.28	$102.33	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $234.42	Professional		$57.54	$107.15	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $257.04	Professional		$109.65	$141.25	$257.04
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $933.25	Professional		$758.58	$758.58	$933.25