Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $75.86	Facility	26	$30.90	$30.90	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $158.49	Professional		$81.28	$91.20	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $32.36 / $52.48	Professional	26	$28.18	$32.36	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	26	$26.92	$26.92	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.02 / $107.15	Professional	26	$29.51	$38.02	$107.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $35.48 / $51.29	Facility	26	$7.59	$35.48	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $234.42	Professional		$93.33	$131.83	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $47.86 / $85.11	Professional	26	$34.67	$47.86	$85.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $89.13 / $186.21	Professional		$33.88	$89.13	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $169.82	Professional		$77.62	$102.33	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.02 / $63.10	Professional	26	$28.18	$38.02	$63.10
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $741.31	Professional		$562.34	$562.34	$741.31
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $199.53 / $245.47	Professional	26	$199.53	$199.53	$245.47