Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.75 / $38.11 / $55.50	Facility	26	$23.75	$38.11	$55.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $127.08 / $199.72	Professional		$120.08	$127.08	$199.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.73 / $23.75 / $34.24	Professional	26	$21.73	$23.75	$34.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $20.14 / $20.14	Professional	26	$20.14	$20.14	$20.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.07 / $41.07 / $41.07	Professional		$41.07	$41.07	$41.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.20 / $50.63 / $67.56	Professional	26	$33.20	$50.63	$67.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.72 / $26.72 / $26.72	Facility	26	$26.72	$26.72	$26.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $220.43 / $356.85	Professional		$149.93	$220.43	$356.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.77 / $36.29 / $58.41	Professional	26	$24.77	$36.29	$58.41
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $22.28 / $36.89 / $65.16	Facility	26	$22.28	$36.89	$65.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $154.62 / $467.65	Professional		$29.00	$154.62	$467.65
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $87.40 / $87.40	Professional	26	$29.51	$87.40	$87.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $223.44 / $281.42	Professional		$43.73	$223.44	$281.42
United Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $191.13 / $370.90	Professional		$146.00	$191.13	$370.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.68 / $31.71 / $61.83	Professional	26	$23.68	$31.71	$61.83
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $52.98 / $108.44 / $108.44	Facility	26	$52.98	$108.44	$108.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $845.52 / $1,121.48 / $1,121.48	Professional		$845.52	$1,121.48	$1,121.48
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $187.20 / $187.20	Professional	26	$147.91	$187.20	$187.20