Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.76 / $37.50 / $59.32	Facility	26	$35.76	$37.50	$59.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $177.36 / $562.00	Professional		$137.84	$177.36	$562.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.24 / $209.24 / $209.24	Professional		$209.24	$209.24	$209.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.51 / $40.51 / $40.51	Facility	26	$40.51	$40.51	$40.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $210.89 / $386.28	Professional		$137.26	$210.89	$386.28
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $40.46 / $64.00 / $82.00	Facility	26	$40.46	$64.00	$82.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $150.00 / $562.66	Professional		$46.00	$150.00	$562.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $167.21 / $240.86	Professional		$51.10	$167.21	$240.86
United Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $189.75 / $400.36	Professional		$130.30	$189.75	$400.36
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $171.71 / $171.71	Facility	26	$100.00	$171.71	$171.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,016.32 / $1,016.32 / $1,270.58	Professional		$1,016.32	$1,016.32	$1,270.58