Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.75 / $93.48 / $142.30	Facility	26	$84.75	$93.48	$142.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.09 / $425.00 / $1,320.50	Professional		$344.09	$425.00	$1,320.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.75 / $118.59 / $258.36	Professional	26	$84.75	$118.59	$258.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.33 / $308.17 / $713.76	Professional	TC	$259.33	$308.17	$713.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.40 / $64.40 / $64.40	Professional	26	$64.40	$64.40	$64.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $232.88 / $232.88	Professional		$232.88	$232.88	$232.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.63 / $205.92 / $258.35	Professional	26	$138.63	$205.92	$258.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $313.36 / $777.52 / $1,034.06	Professional	TC	$313.36	$777.52	$1,034.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.75 / $713.55 / $1,251.99	Professional		$450.75	$713.55	$1,251.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.72 / $140.08 / $245.03	Professional	26	$82.72	$140.08	$245.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $339.03 / $571.51 / $1,048.08	Professional	TC	$339.03	$571.51	$1,048.08
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $114.92 / $149.31 / $243.10	Facility	26	$114.92	$149.31	$243.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $388.00 / $501.00	Professional		$113.00	$388.00	$501.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $129.99 / $129.99 / $311.88	Professional	26	$129.99	$129.99	$311.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $321.73 / $561.78	Professional		$105.88	$321.73	$561.78
United Facility/Professional Professional Modifier Low / Median / High Price $368.30 / $587.66 / $1,043.23	Professional		$368.30	$587.66	$1,043.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.77 / $117.72 / $232.39	Professional	26	$84.77	$117.72	$232.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $279.74 / $479.41 / $814.15	Professional	TC	$279.74	$479.41	$814.15
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $618.08 / $776.00 / $776.00	Facility	26	$618.08	$776.00	$776.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,039.70 / $3,039.70 / $3,039.70	Professional		$3,039.70	$3,039.70	$3,039.70
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $597.70 / $597.70 / $683.48	Professional	26	$597.70	$597.70	$683.48
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,573.94 / $2,613.88 / $2,613.88	Professional	TC	$2,573.94	$2,613.88	$2,613.88