Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.00 / $71.52 / $102.60	Facility	26	$63.00	$71.52	$102.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.96 / $402.08 / $1,165.99	Professional		$250.96	$402.08	$1,165.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.52 / $107.99 / $303.00	Professional	26	$71.52	$107.99	$303.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.44 / $281.41 / $580.79	Professional	TC	$179.44	$281.41	$580.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.33 / $52.33 / $53.71	Professional	26	$52.33	$52.33	$53.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $149.38 / $149.38	Professional		$149.38	$149.38	$149.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.18 / $150.37 / $192.15	Professional	26	$95.18	$150.37	$192.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $479.47 / $728.94 / $1,035.01	Professional	TC	$479.47	$728.94	$1,035.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.40 / $81.40 / $81.40	Facility	26	$81.40	$81.40	$81.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.56 / $649.71 / $1,226.79	Professional		$340.56	$649.71	$1,226.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.97 / $104.42 / $186.40	Professional	26	$58.97	$104.42	$186.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.19 / $524.28 / $1,084.91	Professional	TC	$239.19	$524.28	$1,084.91
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $79.00 / $99.00 / $207.87	Facility	26	$79.00	$99.00	$207.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $439.00 / $550.00	Professional		$76.00	$439.00	$550.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $86.39 / $86.39 / $263.19	Professional	26	$86.39	$86.39	$263.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $265.06 / $449.03	Professional		$100.39	$265.06	$449.03
United Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $508.14 / $914.65	Professional		$279.33	$508.14	$914.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.79 / $93.46 / $207.71	Professional	26	$58.79	$93.46	$207.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.33 / $404.92 / $819.26	Professional	TC	$192.33	$404.92	$819.26
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $515.04 / $648.08 / $648.08	Facility	26	$515.04	$648.08	$648.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,882.90 / $3,076.60 / $3,076.60	Professional		$2,882.90	$3,076.60	$3,076.60
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $596.05 / $867.00 / $867.00	Professional	26	$596.05	$867.00	$867.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,573.94 / $2,790.07 / $2,790.07	Professional	TC	$2,573.94	$2,790.07	$2,790.07