Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $57.54 / $134.90	Facility	26	$30.20	$57.54	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $380.19	Professional		$77.62	$144.54	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $181.97	Professional		$63.10	$70.79	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $38.02 / $53.70	Facility	26	$8.13	$38.02	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $234.42	Professional		$89.13	$134.90	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $204.17	Professional		$141.25	$162.18	$204.17
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $63.10 / $72.44	Professional	26	$52.48	$63.10	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $83.18 / $181.97	Professional		$36.31	$83.18	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $194.98	Professional		$83.18	$107.15	$194.98
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $724.44	Professional		$602.56	$602.56	$724.44