Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.19 / $19.19 / $118.08	Facility	26	$19.19	$19.19	$118.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $77.64 / $225.21	Professional		$56.50	$77.64	$225.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $19.19 / $47.78	Professional	26	$18.04	$19.19	$47.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.85 / $26.85 / $34.28	Professional	26	$26.85	$26.85	$34.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.77 / $42.62 / $56.55	Professional	26	$23.77	$42.62	$56.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $89.31 / $183.82	Professional		$36.26	$89.31	$183.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $28.52 / $49.73	Professional	26	$19.82	$28.52	$49.73
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $20.03 / $22.26 / $42.89	Facility	26	$20.03	$22.26	$42.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $66.00 / $91.00	Professional		$25.00	$66.00	$91.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $20.03 / $20.03 / $20.03	Professional	26	$20.03	$20.03	$20.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $87.52 / $127.19	Professional		$29.39	$87.52	$127.19
United Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $74.84 / $172.80	Professional		$44.44	$74.84	$172.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $22.42 / $47.53	Professional	26	$16.89	$22.42	$47.53
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $44.37 / $80.00 / $100.00	Facility	26	$44.37	$80.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $516.91 / $516.91 / $614.40	Professional		$516.91	$516.91	$614.40
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $122.01 / $122.01 / $153.38	Professional	26	$122.01	$122.01	$153.38