Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $72.44 / $107.15	Facility	26	$40.74	$72.44	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $190.55	Professional		$64.57	$77.62	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $45.71 / $109.65	Professional	26	$38.90	$45.71	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $173.78	Professional		$97.72	$97.72	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $57.54 / $93.33	Professional	26	$41.69	$57.54	$93.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $58.88 / $141.25	Professional	26	$38.02	$58.88	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $46.77 / $66.07	Facility	26	$10.00	$46.77	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $194.98	Professional		$77.62	$102.33	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $64.57 / $120.23	Professional	26	$44.67	$64.57	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $74.13 / $144.54	Professional		$36.31	$74.13	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $128.82	Professional		$60.26	$79.43	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.12 / $85.11	Professional	26	$38.02	$50.12	$85.11
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	26	$263.03	$263.03	$263.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $616.60	Professional		$489.78	$616.60	$616.60
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $331.13 / $331.13	Professional	26	$263.03	$331.13	$331.13