Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.71 / $61.28 / $97.09	Facility	26	$49.71	$61.28	$97.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.50 / $187.28 / $452.00	Professional		$104.50	$187.28	$452.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $160.24 / $250.39	Professional		$103.61	$160.24	$250.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.25 / $132.25 / $132.25	Professional		$132.25	$132.25	$132.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $64.00 / $64.00	Facility	26	$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $174.90 / $319.32	Professional		$118.30	$174.90	$319.32
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $76.22 / $82.64 / $158.38	Facility	26	$76.22	$82.64	$158.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $147.00 / $427.32	Professional		$75.00	$147.00	$427.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $91.89 / $187.80	Professional		$51.95	$91.89	$187.80
United Facility/Professional Professional Modifier Low / Median / High Price $112.71 / $153.08 / $302.19	Professional		$112.71	$153.08	$302.19
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $132.41 / $274.64 / $274.64	Facility	26	$132.41	$274.64	$274.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $759.56 / $937.58 / $937.58	Professional		$759.56	$937.58	$937.58