Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.12 / $159.00 / $375.00	Facility	26	$114.12	$159.00	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.12 / $175.51 / $375.00	Professional	26	$114.12	$175.51	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.34 / $213.36 / $240.03	Professional	26	$85.34	$213.36	$240.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $296.08 / $296.08 / $296.08	Professional	26	$296.08	$296.08	$296.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.13 / $130.13 / $130.13	Facility	26	$130.13	$130.13	$130.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.34 / $216.49 / $336.02	Professional	26	$128.34	$216.49	$336.02
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $180.00 / $225.87 / $353.62	Facility	26	$180.00	$225.87	$353.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.55 / $166.92 / $319.01	Professional	26	$117.55	$166.92	$319.01
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $827.12 / $827.12 / $1,042.72	Facility	26	$827.12	$827.12	$1,042.72
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