Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $446.68	Professional		$169.82	$208.93	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $380.19	Professional		$338.84	$338.84	$380.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $165.96 / $234.42	Facility	26	$35.48	$165.96	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $512.86	Professional		$141.25	$263.03	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	26	$208.93	$208.93	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $208.93 / $426.58	Professional		$63.10	$208.93	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $389.05	Professional		$147.91	$208.93	$389.05
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,513.56	Professional		$1,348.96	$1,348.96	$1,513.56