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 $311.23 / $425.00 / $839.09	Professional		$311.23	$425.00	$839.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.33 / $102.59 / $166.95	Professional	26	$82.33	$102.59	$166.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $228.90 / $282.87 / $533.85	Professional	TC	$228.90	$282.87	$533.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.00 / $61.00 / $66.39	Professional	26	$61.00	$61.00	$66.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $214.20 / $214.20	Professional		$214.20	$214.20	$214.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $132.80 / $178.04 / $249.82	Professional	26	$132.80	$178.04	$249.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $576.36 / $805.47 / $1,048.43	Professional	TC	$576.36	$805.47	$1,048.43
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 $407.71 / $777.79 / $1,432.37	Professional		$407.71	$777.79	$1,432.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.36 / $134.71 / $237.69	Professional	26	$79.36	$134.71	$237.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $303.98 / $605.27 / $1,235.76	Professional	TC	$303.98	$605.27	$1,235.76
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $124.80 / $142.00 / $254.79	Facility	26	$124.80	$142.00	$254.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $457.00 / $567.00	Professional		$110.00	$457.00	$567.00
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 $82.41 / $307.06 / $508.99	Professional		$82.41	$307.06	$508.99
United Facility/Professional Professional Modifier Low / Median / High Price $351.40 / $625.66 / $1,080.28	Professional		$351.40	$625.66	$1,080.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.07 / $113.67 / $233.72	Professional	26	$83.07	$113.67	$233.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.59 / $517.85 / $899.42	Professional	TC	$249.59	$517.85	$899.42
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 $667.05 / $667.05 / $667.05	Professional	26	$667.05	$667.05	$667.05
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $3,042.45 / $3,063.70 / $3,063.70	Professional	TC	$3,042.45	$3,063.70	$3,063.70