Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $123.03 / $169.82	Facility	26	$91.20	$123.03	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $371.54	Professional		$144.54	$177.83	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $380.19	Professional		$134.90	$169.82	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $281.84 / $281.84	Professional		$79.43	$281.84	$281.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $102.33 / $147.91	Facility	26	$21.88	$102.33	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $426.58	Professional		$169.82	$229.09	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $323.59	Professional		$87.10	$165.96	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $295.12	Professional		$138.04	$181.97	$295.12
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	26	$575.44	$575.44	$575.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,348.96	Professional		$1,318.26	$1,318.26	$1,348.96