Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $325.30 / $330.12 / $544.58	Facility	26	$325.30	$330.12	$544.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.21 / $1,179.63 / $1,875.02	Professional		$1,118.21	$1,179.63	$1,875.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $313.08 / $356.81 / $805.51	Professional	26	$313.08	$356.81	$805.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $474.69 / $474.69 / $474.69	Professional	26	$474.69	$474.69	$474.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.69 / $761.35 / $986.46	Professional		$474.69	$761.35	$986.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $669.44 / $669.44 / $669.44	Professional	26	$669.44	$669.44	$669.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.51 / $1,758.75 / $2,950.66	Professional		$1,286.51	$1,758.75	$2,950.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $392.77 / $534.88 / $881.22	Professional	26	$392.77	$534.88	$881.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $408.40 / $544.53 / $883.70	Facility	26	$408.40	$544.53	$883.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,335.16 / $1,335.16 / $1,335.16	Professional		$1,335.16	$1,335.16	$1,335.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.00 / $1,631.00 / $1,631.00	Professional		$1,631.00	$1,631.00	$1,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,119.36 / $1,573.82 / $3,077.20	Professional		$1,119.36	$1,573.82	$3,077.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $334.83 / $490.03 / $1,011.07	Professional	26	$334.83	$490.03	$1,011.07
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $2,401.92 / $2,401.92 / $2,924.64	Facility	26	$2,401.92	$2,401.92	$2,924.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,402.64 / $9,056.62 / $9,056.62	Professional		$7,402.64	$9,056.62	$9,056.62
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $2,032.70 / $2,736.98 / $2,736.98	Professional	26	$2,032.70	$2,736.98	$2,736.98