Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $120.23 / $316.23	Facility	26	$70.79	$120.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $426.58 / $870.96	Professional		$213.80	$426.58	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $467.74	Professional		$190.55	$338.84	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $89.13 / $128.82	Facility	26	$19.05	$89.13	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $645.65	Professional		$194.98	$338.84	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $616.60	Professional		$229.09	$269.15	$616.60
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $147.91 / $173.78	Professional	26	$123.03	$147.91	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $251.19 / $501.19	Professional		$85.11	$251.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $549.54	Professional		$186.21	$275.42	$549.54
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	26	$501.19	$501.19	$501.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,137.96	Professional		$1,698.24	$1,698.24	$2,137.96