Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.50 / $131.63 / $183.49	Facility	26	$97.50	$131.63	$183.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.50 / $97.50 / $310.73	Professional	26	$97.50	$97.50	$310.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $229.59 / $229.59 / $229.59	Professional	26	$229.59	$229.59	$229.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $163.26 / $253.16 / $321.55	Professional	26	$163.26	$253.16	$321.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.44 / $124.44 / $124.44	Facility	26	$124.44	$124.44	$124.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.68 / $192.51 / $313.38	Professional	26	$119.68	$192.51	$313.38
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $174.14 / $190.96 / $289.81	Facility	26	$174.14	$190.96	$289.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.12 / $159.21 / $308.82	Professional	26	$114.12	$159.21	$308.82
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $259.18 / $259.18 / $529.63	Facility	26	$259.18	$259.18	$529.63
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $680.84 / $680.84 / $882.38	Professional	26	$680.84	$680.84	$882.38