Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.81 / $55.81 / $56.32	Facility	26	$55.81	$55.81	$56.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.11 / $335.87 / $718.18	Professional		$309.11	$335.87	$718.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.96 / $57.91 / $159.27	Professional	26	$50.96	$57.91	$159.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.43 / $85.75 / $99.98	Professional	26	$78.43	$85.75	$99.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $109.14 / $178.75	Professional	26	$51.97	$109.14	$178.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.62 / $448.86 / $863.47	Professional		$232.62	$448.86	$863.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.82 / $83.32 / $148.71	Professional	26	$54.82	$83.32	$148.71
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $56.27 / $72.00 / $104.73	Facility	26	$56.27	$72.00	$104.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $332.00 / $405.00	Professional		$73.00	$332.00	$405.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $56.27 / $56.27 / $56.27	Professional	26	$56.27	$56.27	$56.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $354.87 / $619.07	Professional		$60.97	$354.87	$619.07
United Facility/Professional Professional Modifier Low / Median / High Price $236.49 / $360.63 / $949.76	Professional		$236.49	$360.63	$949.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $71.03 / $143.22	Professional	26	$51.29	$71.03	$143.22
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $101.69 / $276.20 / $276.20	Facility	26	$101.69	$276.20	$276.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,222.29 / $2,222.29 / $2,930.55	Professional		$2,222.29	$2,222.29	$2,930.55
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $447.83 / $447.83 / $774.69	Professional	26	$447.83	$447.83	$774.69