Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.41 / $104.98 / $136.69	Facility	26	$82.41	$104.98	$136.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.22 / $319.01 / $573.70	Professional		$296.22	$319.01	$573.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.41 / $91.48 / $230.13	Professional	26	$82.41	$91.48	$230.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $213.81 / $231.34 / $315.95	Professional	TC	$213.81	$231.34	$315.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $149.87 / $149.87 / $149.87	Professional	26	$149.87	$149.87	$149.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.57 / $148.88 / $244.66	Professional	26	$103.57	$148.88	$244.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $305.00 / $405.42 / $632.07	Professional	TC	$305.00	$405.42	$632.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.66 / $481.03 / $765.93	Professional		$369.66	$481.03	$765.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.60 / $144.35 / $235.39	Professional	26	$102.60	$144.35	$235.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $265.43 / $348.45 / $540.46	Professional	TC	$265.43	$348.45	$540.46
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $117.54 / $134.00 / $207.90	Facility	26	$117.54	$134.00	$207.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $408.55 / $408.55 / $718.82	Professional		$408.55	$408.55	$718.82
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $117.54 / $117.54 / $117.54	Professional	26	$117.54	$117.54	$117.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $458.00 / $827.50	Professional		$3.00	$458.00	$827.50
United Facility/Professional Professional Modifier Low / Median / High Price $277.56 / $437.35 / $821.18	Professional		$277.56	$437.35	$821.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.05 / $118.10 / $254.61	Professional	26	$84.05	$118.10	$254.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $191.29 / $284.99 / $540.75	Professional	TC	$191.29	$284.99	$540.75
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $195.59 / $406.32 / $406.32	Facility	26	$195.59	$406.32	$406.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,999.20 / $1,999.20 / $2,332.94	Professional		$1,999.20	$1,999.20	$2,332.94
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $684.00 / $684.00 / $684.30	Professional	26	$684.00	$684.00	$684.30
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,517.19 / $1,517.19 / $1,648.65	Professional	TC	$1,517.19	$1,517.19	$1,648.65