Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.94 / $36.94 / $55.88	Facility	26	$36.94	$36.94	$55.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $84.15 / $178.40	Professional		$75.25	$84.15	$178.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $36.94 / $63.26	Professional	26	$33.49	$36.94	$63.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $109.91 / $112.15	Professional		$101.09	$109.91	$112.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.83 / $47.83 / $65.98	Professional	26	$47.83	$47.83	$65.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.09 / $53.52 / $118.07	Professional	26	$34.09	$53.52	$118.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.36 / $41.36 / $41.36	Facility	26	$41.36	$41.36	$41.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $116.85 / $216.57	Professional		$79.90	$116.85	$216.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.75 / $57.19 / $101.07	Professional	26	$39.75	$57.19	$101.07
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $42.85 / $65.15 / $97.47	Facility	26	$42.85	$65.15	$97.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $53.00 / $101.00	Professional		$48.00	$53.00	$101.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $132.90 / $132.90 / $132.90	Professional	50	$132.90	$132.90	$132.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $71.66 / $146.85	Professional		$38.60	$71.66	$146.85
United Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $98.09 / $208.65	Professional		$74.08	$98.09	$208.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $47.08 / $94.69	Professional	26	$36.22	$47.08	$94.69
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $181.07 / $181.07	Facility	26	$80.00	$181.07	$181.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $553.27 / $676.35 / $676.35	Professional		$553.27	$676.35	$676.35
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $234.24 / $294.52 / $294.52	Professional	26	$234.24	$294.52	$294.52