Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $102.33	Facility	26	$67.61	$67.61	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $354.81	Professional		$144.54	$173.78	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $93.33 / $257.04	Professional	26	$64.57	$93.33	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $302.00	Professional		$120.23	$158.49	$302.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $87.10 / $120.23	Professional	26	$72.44	$87.10	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $79.43	Professional		$70.79	$70.79	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $85.11 / $213.80	Professional	26	$63.10	$85.11	$213.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $75.86 / $109.65	Facility	26	$16.22	$75.86	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $380.19	Professional		$151.36	$213.80	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $97.72 / $165.96	Professional	26	$67.61	$97.72	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	26	$107.15	$107.15	$107.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $158.49 / $323.59	Professional		$74.13	$158.49	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $288.40	Professional		$131.83	$169.82	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $75.86 / $128.82	Professional	26	$58.88	$75.86	$128.82
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	26	$426.58	$426.58	$426.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,288.25	Professional		$977.24	$977.24	$1,288.25
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $426.58 / $537.03	Professional	26	$426.58	$426.58	$537.03