Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.73 / $47.73 / $47.73	Facility		$47.73	$47.73	$47.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.88 / $44.88 / $44.88	Facility	26	$44.88	$44.88	$44.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $47.73 / $77.23	Professional		$15.66	$47.73	$77.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $44.88 / $249.78	Professional	26	$15.66	$44.88	$249.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.22 / $32.43 / $63.04	Professional	26	$23.22	$32.43	$63.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $17.93 / $18.46	Professional		$17.93	$17.93	$18.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.50 / $42.88 / $60.89	Professional	26	$33.50	$42.88	$60.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $4.28 / $9.98	Facility		$2.41	$4.28	$9.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $18.03 / $69.20	Facility		$18.03	$18.03	$69.20
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $18.03 / $18.03 / $48.44	Facility	26	$18.03	$18.03	$48.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.46 / $18.03	Professional		$13.46	$13.46	$18.03
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $18.03 / $18.03 / $18.03	Professional	26	$18.03	$18.03	$18.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $50.02 / $78.61	Professional		$3.25	$50.02	$78.61
United Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $3.66 / $3.66	Facility		$3.66	$3.66	$3.66
United Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $28.14 / $62.14	Professional		$18.61	$28.14	$62.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.60 / $27.54 / $58.41	Professional	26	$18.60	$27.54	$58.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $244.58 / $244.58	Facility		$85.00	$244.58	$244.58
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $227.00 / $227.00	Facility	26	$85.00	$227.00	$227.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $302.45 / $302.45 / $392.55	Professional		$302.45	$302.45	$392.55
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $283.52 / $283.52 / $363.08	Professional	26	$283.52	$283.52	$363.08