Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $364.18 / $367.82 / $609.57	Facility	26	$364.18	$367.82	$609.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,234.72 / $1,260.18 / $2,000.47	Professional		$1,234.72	$1,260.18	$2,000.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $341.21 / $380.31 / $914.55	Professional	26	$341.21	$380.31	$914.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $473.79 / $510.49 / $724.35	Professional	26	$473.79	$510.49	$724.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.95 / $848.33 / $1,104.24	Professional		$531.95	$848.33	$1,104.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $770.38 / $770.38 / $770.38	Professional	26	$770.38	$770.38	$770.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,418.79 / $1,912.83 / $3,265.83	Professional		$1,418.79	$1,912.83	$3,265.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $437.63 / $598.37 / $985.82	Professional	26	$437.63	$598.37	$985.82
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $455.05 / $634.20 / $988.61	Facility	26	$455.05	$634.20	$988.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,428.78 / $1,428.78 / $1,428.78	Professional		$1,428.78	$1,428.78	$1,428.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.50 / $1,743.50 / $1,743.50	Professional		$1,743.50	$1,743.50	$1,743.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,212.94 / $1,684.71 / $3,406.07	Professional		$1,212.94	$1,684.71	$3,406.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $387.35 / $545.99 / $1,205.77	Professional	26	$387.35	$545.99	$1,205.77
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $2,693.76 / $2,693.76 / $3,278.00	Facility	26	$2,693.76	$2,693.76	$3,278.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,224.96 / $10,050.15 / $10,050.15	Professional		$8,224.96	$10,050.15	$10,050.15
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $2,275.66 / $3,071.40 / $3,071.40	Professional	26	$2,275.66	$3,071.40	$3,071.40