Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $74.13	Facility		$46.77	$46.77	$74.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $69.18 / $151.36	Facility	26	$43.65	$69.18	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $46.77 / $64.57	Professional		$12.59	$46.77	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $45.71 / $151.36	Professional	26	$19.95	$45.71	$151.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $45.71 / $67.61	Professional	26	$23.44	$45.71	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $42.66 / $56.23	Professional	26	$33.88	$42.66	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $5.01 / $10.96	Facility		$2.14	$5.01	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $48.98 / $83.18	Facility		$18.20	$48.98	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $66.07 / $79.43	Professional		$4.47	$66.07	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $11.22 / $22.91	Facility		$3.47	$11.22	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $56.23	Professional		$18.62	$25.12	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.12 / $53.70	Professional	26	$18.62	$25.12	$53.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	26	$281.84	$281.84	$281.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $389.05	Professional		$302.00	$302.00	$389.05
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $281.84 / $363.08	Professional	26	$281.84	$281.84	$363.08