Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.33 / $90.84 / $138.29	Facility	26	$82.33	$90.84	$138.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.87 / $402.08 / $892.54	Professional		$276.87	$402.08	$892.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.33 / $102.59 / $175.20	Professional	26	$82.33	$102.59	$175.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.54 / $299.00 / $597.33	Professional	TC	$194.54	$299.00	$597.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.00 / $61.00 / $61.86	Professional	26	$61.00	$61.00	$61.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.48 / $214.48 / $214.48	Professional		$214.48	$214.48	$214.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $132.91 / $189.54 / $249.82	Professional	26	$132.91	$189.54	$249.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $497.00 / $754.94 / $1,036.92	Professional	TC	$497.00	$754.94	$1,036.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.70 / $727.61 / $1,331.81	Professional		$362.70	$727.61	$1,331.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.41 / $135.22 / $237.69	Professional	26	$79.41	$135.22	$237.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.32 / $562.44 / $1,150.55	Professional	TC	$263.32	$562.44	$1,150.55
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $124.80 / $142.00 / $253.40	Facility	26	$124.80	$142.00	$253.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $402.00 / $550.00	Professional		$110.00	$402.00	$550.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $124.80 / $124.80 / $302.97	Professional	26	$124.80	$124.80	$302.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $252.39 / $450.52	Professional		$102.21	$252.39	$450.52
United Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $580.65 / $976.70	Professional		$297.02	$580.65	$976.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.08 / $112.96 / $237.52	Professional	26	$83.08	$112.96	$237.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.88 / $430.62 / $830.07	Professional	TC	$214.88	$430.62	$830.07
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $593.12 / $746.48 / $746.48	Facility	26	$593.12	$746.48	$746.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,491.47 / $3,491.47 / $3,491.47	Professional		$3,491.47	$3,491.47	$3,491.47
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $657.14 / $657.14 / $657.14	Professional	26	$657.14	$657.14	$657.14
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $3,042.45 / $3,042.45 / $3,042.45	Professional	TC	$3,042.45	$3,042.45	$3,042.45