Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.29 / $106.13 / $149.36	Facility	26	$89.29	$106.13	$149.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.29 / $123.41 / $265.00	Professional	26	$89.29	$123.41	$265.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $137.47 / $137.47 / $167.58	Professional	26	$137.47	$137.47	$167.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $156.93 / $209.02 / $209.02	Professional	26	$156.93	$209.02	$209.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.10 / $102.10 / $102.10	Facility	26	$102.10	$102.10	$102.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.66 / $168.03 / $264.06	Professional	26	$99.66	$168.03	$264.06
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $120.71 / $146.38 / $273.32	Facility	26	$120.71	$146.38	$273.32
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $140.21 / $140.21 / $140.21	Professional	26	$140.21	$140.21	$140.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.25 / $142.25 / $258.39	Professional	26	$91.25	$142.25	$258.39
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $814.88 / $960.00 / $960.00	Facility	26	$814.88	$960.00	$960.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $1,192.32 / $1,201.05 / $1,201.05	Professional	26	$1,192.32	$1,201.05	$1,201.05