Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $233.08 / $240.22 / $389.64	Facility	26	$233.08	$240.22	$389.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.22 / $907.65 / $1,496.92	Professional		$886.22	$907.65	$1,496.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $232.79 / $260.88 / $573.38	Professional	26	$232.79	$260.88	$573.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $326.16 / $339.60 / $444.06	Professional	26	$326.16	$339.60	$444.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.60 / $554.04 / $705.83	Professional		$339.60	$554.04	$705.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $484.20 / $484.20 / $484.20	Professional	26	$484.20	$484.20	$484.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.19 / $1,350.08 / $2,303.73	Professional		$994.19	$1,350.08	$2,303.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $285.79 / $389.08 / $629.85	Professional	26	$285.79	$389.08	$629.85
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $297.19 / $406.03 / $632.92	Facility	26	$297.19	$406.03	$632.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,001.75 / $1,001.75 / $1,001.75	Professional		$1,001.75	$1,001.75	$1,001.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.90 / $1,224.90 / $1,224.90	Professional		$1,224.90	$1,224.90	$1,224.90
United Facility/Professional Professional Modifier Low / Median / High Price $861.60 / $1,189.15 / $2,400.69	Professional		$861.60	$1,189.15	$2,400.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $241.02 / $356.56 / $671.16	Professional	26	$241.02	$356.56	$671.16
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $1,718.00 / $1,718.00 / $2,092.32	Facility	26	$1,718.00	$1,718.00	$2,092.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,012.88 / $7,302.75 / $7,302.75	Professional		$6,012.88	$7,302.75	$7,302.75
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $1,456.11 / $1,957.43 / $1,957.43	Professional	26	$1,456.11	$1,957.43	$1,957.43