Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.23 / $65.23 / $97.70	Facility	26	$65.23	$65.23	$97.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $124.81 / $321.73	Professional		$107.06	$124.81	$321.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.02 / $66.29 / $143.46	Professional	26	$60.02	$66.29	$143.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $158.59 / $210.75	Professional		$100.86	$158.59	$210.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.53 / $85.53 / $116.69	Professional	26	$85.53	$85.53	$116.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.46 / $94.92 / $209.31	Professional	26	$60.46	$94.92	$209.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.17 / $74.17 / $74.17	Facility	26	$74.17	$74.17	$74.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $161.76 / $307.95	Professional		$92.55	$161.76	$307.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.65 / $101.49 / $179.66	Professional	26	$70.65	$101.49	$179.66
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $75.31 / $116.59 / $178.48	Facility	26	$75.31	$116.59	$178.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $85.00 / $157.00	Professional		$72.00	$85.00	$157.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $103.68 / $198.19	Professional		$55.19	$103.68	$198.19
United Facility/Professional Professional Modifier Low / Median / High Price $110.78 / $148.16 / $284.12	Professional		$110.78	$148.16	$284.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.06 / $83.95 / $165.46	Professional	26	$63.06	$83.95	$165.46
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $117.86 / $321.77 / $321.77	Facility	26	$117.86	$321.77	$321.77
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $728.40 / $908.78 / $908.78	Professional		$728.40	$908.78	$908.78
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $414.32 / $520.04 / $520.04	Professional	26	$414.32	$520.04	$520.04