Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.53 / $121.62 / $167.87	Facility	26	$101.53	$121.62	$167.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $384.65 / $839.54	Professional		$312.81	$384.65	$839.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.53 / $110.37 / $289.00	Professional	26	$101.53	$110.37	$289.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $150.02 / $150.02 / $246.14	Professional	52	$150.02	$150.02	$246.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.93 / $258.77 / $512.29	Professional	TC	$206.93	$258.77	$512.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $126.69 / $213.42 / $300.99	Professional	26	$126.69	$213.42	$300.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $255.18 / $321.06 / $582.29	Professional	TC	$255.18	$321.06	$582.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.33 / $530.33 / $928.42	Professional		$352.33	$530.33	$928.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $130.44 / $179.14 / $307.36	Professional	26	$130.44	$179.14	$307.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.74 / $356.39 / $606.85	Professional	TC	$220.74	$356.39	$606.85
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $141.88 / $141.88 / $255.61	Facility	26	$141.88	$141.88	$255.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.06 / $380.06 / $873.91	Professional		$380.06	$380.06	$873.91
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $238.17 / $238.17 / $238.17	Professional	TC	$238.17	$238.17	$238.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $323.30 / $1,005.80	Professional		$3.00	$323.30	$1,005.80
United Facility/Professional Professional Modifier Low / Median / High Price $295.94 / $422.64 / $973.20	Professional		$295.94	$422.64	$973.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.20 / $149.46 / $285.68	Professional	26	$104.20	$149.46	$285.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.60 / $276.00 / $636.04	Professional	TC	$194.60	$276.00	$636.04
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $240.28 / $498.13 / $498.13	Facility	26	$240.28	$498.13	$498.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,444.00 / $2,846.03 / $2,846.03	Professional		$2,444.00	$2,846.03	$2,846.03
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $752.32 / $835.28 / $835.28	Professional	26	$752.32	$835.28	$835.28
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,747.81 / $2,010.75 / $2,010.75	Professional	TC	$1,747.81	$2,010.75	$2,010.75