Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	26	$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $218.78	Professional		$83.18	$97.72	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $162.18	Professional		$87.10	$87.10	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $275.42	Professional		$87.10	$147.91	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $89.13 / $186.21	Professional		$41.69	$89.13	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $190.55	Professional		$87.10	$109.65	$190.55
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $724.44	Professional		$588.84	$724.44	$724.44