Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.92 / $58.32 / $60.85	Facility	26	$48.92	$58.32	$60.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $370.94 / $840.76	Professional		$287.02	$370.94	$840.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.44 / $67.28 / $187.33	Professional	26	$60.44	$67.28	$187.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.09 / $78.52 / $175.50	Professional	26	$69.09	$78.52	$175.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.68 / $137.04 / $172.97	Professional	26	$63.68	$137.04	$172.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.03 / $330.28 / $822.64	Professional		$184.03	$330.28	$822.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.75 / $40.56 / $132.18	Professional	26	$35.75	$40.56	$132.18
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $105.00 / $125.00 / $140.99	Facility	26	$105.00	$125.00	$140.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Professional		$180.00	$180.00	$180.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $264.60 / $780.56	Professional		$45.99	$264.60	$780.56
United Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $371.95 / $808.91	Professional		$221.90	$371.95	$808.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $74.78 / $127.62	Professional	26	$44.39	$74.78	$127.62
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $375.20 / $375.20 / $375.20	Facility	26	$375.20	$375.20	$375.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,261.22 / $3,261.22 / $4,153.64	Professional		$3,261.22	$3,261.22	$4,153.64
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $665.00 / $665.00 / $665.00	Professional	26	$665.00	$665.00	$665.00