Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $144.54 / $338.84	Facility	26	$85.11	$144.54	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $1,445.44	Professional		$338.84	$478.63	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $338.84	Professional	26	$85.11	$125.89	$338.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $933.25	Professional	TC	$257.04	$338.84	$933.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	26	$234.42	$234.42	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $190.55 / $263.03	Professional	26	$138.04	$190.55	$263.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $676.08 / $1,023.29	Professional	TC	$316.23	$676.08	$1,023.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $97.72 / $138.04	Facility	26	$20.89	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $1,174.90	Professional		$398.11	$691.83	$1,174.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $128.82 / $245.47	Professional	26	$75.86	$128.82	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $549.54 / $912.01	Professional	TC	$295.12	$549.54	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Professional	26	$158.49	$158.49	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $338.84 / $812.83	Professional		$89.13	$338.84	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $954.99	Professional		$371.54	$549.54	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $107.15 / $208.93	Professional	26	$79.43	$107.15	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $436.52 / $758.58	Professional	TC	$281.84	$436.52	$758.58
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $851.14 / $851.14 / $851.14	Professional	26	$851.14	$851.14	$851.14
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,570.40 / $2,630.27 / $2,630.27	Professional	TC	$2,570.40	$2,630.27	$2,630.27