Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.28 / $55.40 / $84.60	Facility	26	$45.28	$55.40	$84.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $154.82 / $324.74	Professional		$101.00	$154.82	$324.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $155.76 / $260.93	Professional		$97.85	$155.76	$260.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.93 / $133.93 / $133.93	Professional		$133.93	$133.93	$133.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $57.04 / $57.04	Facility	26	$57.04	$57.04	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $168.28 / $307.19	Professional		$115.20	$168.28	$307.19
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $73.95 / $89.00 / $139.37	Facility	26	$73.95	$89.00	$139.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $153.00 / $412.97	Professional		$69.00	$153.00	$412.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $99.43 / $193.51	Professional		$49.64	$99.43	$193.51
United Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $141.52 / $290.82	Professional		$104.97	$141.52	$290.82
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $118.21 / $245.43 / $245.43	Facility	26	$118.21	$245.43	$245.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $735.51 / $735.51 / $987.23	Professional		$735.51	$735.51	$987.23