Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.96 / $157.04 / $375.00	Facility	26	$112.96	$157.04	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.90 / $125.00 / $360.03	Professional	26	$110.90	$125.00	$360.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.81 / $211.54 / $237.98	Professional	26	$84.81	$211.54	$237.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $237.85 / $281.58 / $281.58	Professional	26	$237.85	$281.58	$281.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.81 / $128.81 / $128.81	Facility	26	$128.81	$128.81	$128.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.47 / $213.82 / $332.69	Professional	26	$125.47	$213.82	$332.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $177.08 / $261.67 / $350.19	Facility	26	$177.08	$261.67	$350.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $116.08 / $154.22 / $315.98	Professional	26	$116.08	$154.22	$315.98
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $822.88 / $822.88 / $1,034.88	Facility	26	$822.88	$822.88	$1,034.88
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