Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.06 / $68.06 / $105.88	Facility	26	$68.06	$68.06	$105.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $164.25 / $268.20	Professional		$144.50	$164.25	$268.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.66 / $70.87 / $190.88	Professional	26	$62.66	$70.87	$190.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.08 / $210.12 / $276.31	Professional		$143.08	$210.12	$276.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.35 / $119.79 / $126.30	Professional	26	$87.35	$119.79	$126.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $173.38	Professional		$70.00	$70.00	$173.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.63 / $122.64 / $204.58	Professional	26	$62.63	$122.64	$204.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $219.70 / $390.16	Professional		$150.63	$219.70	$390.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.95 / $98.85 / $173.35	Professional	26	$68.95	$98.85	$173.35
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $73.05 / $91.00 / $104.97	Facility	26	$73.05	$91.00	$104.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $122.00 / $215.00	Professional		$87.00	$122.00	$215.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $73.05 / $73.05 / $73.05	Professional	26	$73.05	$73.05	$73.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $142.05 / $295.72	Professional		$79.42	$142.05	$295.72
United Facility/Professional Professional Modifier Low / Median / High Price $132.12 / $170.59 / $309.64	Professional		$132.12	$170.59	$309.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.40 / $77.44 / $143.53	Professional	26	$59.40	$77.44	$143.53
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $124.27 / $261.97 / $327.56	Facility	26	$124.27	$261.97	$327.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $982.06 / $982.06 / $1,296.45	Professional		$982.06	$982.06	$1,296.45
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $428.85 / $428.85 / $540.45	Professional	26	$428.85	$428.85	$540.45