Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.05 / $21.11 / $21.11	Facility	26	$17.05	$21.11	$21.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $106.56 / $197.16	Professional		$82.94	$106.56	$197.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $21.59 / $257.50	Professional	26	$18.07	$21.59	$257.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.34 / $48.34 / $48.34	Professional	26	$48.34	$48.34	$48.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.96 / $34.77 / $57.65	Professional	26	$15.96	$34.77	$57.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $74.56 / $240.63	Professional		$46.54	$74.56	$240.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $14.14 / $46.55	Professional	26	$12.63	$14.14	$46.55
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $37.58 / $45.00 / $53.60	Facility	26	$37.58	$45.00	$53.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Professional		$36.00	$36.00	$36.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $79.70 / $178.17	Professional		$16.09	$79.70	$178.17
United Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $84.18 / $216.93	Professional		$55.85	$84.18	$216.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.45 / $23.93 / $45.04	Professional	26	$15.45	$23.93	$45.04
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $129.96 / $129.96 / $129.96	Facility	26	$129.96	$129.96	$129.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $888.56 / $888.56 / $1,139.03	Professional		$888.56	$888.56	$1,139.03
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $239.41 / $239.41 / $239.41	Professional	26	$239.41	$239.41	$239.41