Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.89 / $47.65 / $75.19	Facility	26	$31.89	$47.65	$75.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $88.44 / $123.33	Professional		$82.32	$88.44	$123.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.99 / $31.89 / $47.65	Professional	26	$28.99	$31.89	$47.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $76.01 / $76.01	Professional		$76.01	$76.01	$76.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $27.12 / $27.12	Professional	26	$27.12	$27.12	$27.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $91.18 / $91.18	Professional		$91.18	$91.18	$91.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.45 / $44.13 / $103.42	Professional	26	$29.45	$44.13	$103.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $133.27 / $234.29	Professional		$99.03	$133.27	$234.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.43 / $48.53 / $85.24	Professional	26	$35.43	$48.53	$85.24
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.90 / $50.21 / $87.15	Facility	26	$36.90	$50.21	$87.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $84.19 / $124.00	Professional		$40.00	$84.19	$124.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $88.07 / $156.79	Professional		$38.28	$88.07	$156.79
United Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $103.55 / $180.85	Professional		$79.65	$103.55	$180.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.08 / $37.75 / $65.31	Professional	26	$29.08	$37.75	$65.31
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $56.14 / $124.71 / $153.47	Facility	26	$56.14	$124.71	$153.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $560.38 / $745.73 / $745.73	Professional		$560.38	$745.73	$745.73
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $201.28 / $247.13 / $247.13	Professional	26	$201.28	$247.13	$247.13