Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.00 / $76.90 / $109.04	Facility	26	$59.00	$76.90	$109.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.37 / $305.37 / $488.45	Professional		$305.37	$305.37	$488.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.10 / $59.00 / $106.59	Professional	26	$57.10	$59.00	$106.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.41 / $99.76 / $136.04	Professional	26	$48.41	$99.76	$136.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.74 / $152.91 / $180.26	Professional	26	$96.74	$152.91	$180.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.28 / $74.28 / $74.28	Facility	26	$74.28	$74.28	$74.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.67 / $594.97 / $975.80	Professional		$279.67	$594.97	$975.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.81 / $119.99 / $187.40	Professional	26	$71.81	$119.99	$187.40
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $100.94 / $117.00 / $200.69	Facility	26	$100.94	$117.00	$200.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $385.00 / $471.00	Professional		$87.00	$385.00	$471.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $100.94 / $100.94 / $100.94	Professional	26	$100.94	$100.94	$100.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $301.10 / $706.30 / $958.70	Professional		$301.10	$706.30	$958.70
United Facility/Professional Professional Modifier Low / Median / High Price $291.31 / $462.18 / $977.21	Professional		$291.31	$462.18	$977.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.37 / $89.10 / $187.08	Professional	26	$67.37	$89.10	$187.08
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $153.81 / $206.15 / $315.45	Facility	26	$153.81	$206.15	$315.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,260.82 / $2,260.82 / $2,789.10	Professional		$2,260.82	$2,260.82	$2,789.10
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $603.00 / $603.00 / $603.00	Professional	26	$603.00	$603.00	$603.00