Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.81 / $120.51 / $172.54	Facility	26	$101.81	$120.51	$172.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.81 / $125.00 / $375.00	Professional	26	$101.81	$125.00	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $212.81 / $212.81 / $212.81	Professional	26	$212.81	$212.81	$212.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $265.83 / $265.83 / $265.83	Professional	26	$265.83	$265.83	$265.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.69 / $115.69 / $115.69	Facility	26	$115.69	$115.69	$115.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.19 / $193.81 / $299.99	Professional	26	$113.19	$193.81	$299.99
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $160.10 / $172.50 / $283.89	Facility	26	$160.10	$172.50	$283.89
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $160.10 / $160.10 / $160.10	Professional	26	$160.10	$160.10	$160.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.54 / $137.62 / $286.75	Professional	26	$104.54	$137.62	$286.75
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $780.00 / $780.00 / $924.96	Facility	26	$780.00	$780.00	$924.96
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $1,192.32 / $1,192.32 / $1,192.32	Professional	26	$1,192.32	$1,192.32	$1,192.32