Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.69 / $33.79 / $49.58	Facility	26	$26.69	$33.79	$49.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $188.12 / $197.56	Professional		$159.55	$188.12	$197.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.67 / $26.69 / $40.97	Professional	26	$25.67	$26.69	$40.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.40 / $61.40 / $61.40	Professional	26	$61.40	$61.40	$61.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.39 / $67.98 / $80.37	Professional	26	$46.39	$67.98	$80.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.22 / $33.22 / $33.22	Facility	26	$33.22	$33.22	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $320.98 / $523.44	Professional		$142.12	$320.98	$523.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.96 / $55.78 / $84.89	Professional	26	$31.96	$55.78	$84.89
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $51.00 / $88.40	Facility	26	$44.67	$51.00	$88.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $195.00 / $234.00	Professional		$40.00	$195.00	$234.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	26	$44.67	$44.67	$44.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.10 / $346.60 / $595.29	Professional		$159.10	$346.60	$595.29
United Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $260.58 / $572.86	Professional		$146.66	$260.58	$572.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.58 / $39.95 / $85.00	Professional	26	$29.58	$39.95	$85.00
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $69.03 / $85.90 / $142.79	Facility	26	$69.03	$85.90	$142.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,397.49 / $1,397.49 / $1,711.80	Professional		$1,397.49	$1,397.49	$1,711.80
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $249.32 / $249.32 / $249.32	Professional	26	$249.32	$249.32	$249.32