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 $344.73 / $425.00 / $1,320.50	Professional		$344.73	$425.00	$1,320.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.75 / $126.00 / $320.00	Professional	26	$84.75	$126.00	$320.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.98 / $335.00 / $710.97	Professional	TC	$259.98	$335.00	$710.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.16 / $171.56 / $177.64	Professional	26	$64.16	$171.56	$177.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.05 / $225.05 / $225.05	Professional		$225.05	$225.05	$225.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $142.26 / $206.13 / $259.33	Professional	26	$142.26	$206.13	$259.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $596.57 / $777.52 / $1,034.06	Professional	TC	$596.57	$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 $449.22 / $719.87 / $1,252.83	Professional		$449.22	$719.87	$1,252.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.72 / $140.08 / $244.60	Professional	26	$82.72	$140.08	$244.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $340.20 / $573.84 / $1,048.95	Professional	TC	$340.20	$573.84	$1,048.95
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $129.99 / $148.00 / $262.26	Facility	26	$129.99	$148.00	$262.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $390.00 / $503.00	Professional		$113.00	$390.00	$503.00
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 $86.29 / $314.85 / $569.42	Professional		$86.29	$314.85	$569.42
United Facility/Professional Professional Modifier Low / Median / High Price $370.34 / $599.91 / $1,021.72	Professional		$370.34	$599.91	$1,021.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.73 / $119.12 / $233.26	Professional	26	$79.73	$119.12	$233.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $282.27 / $476.48 / $814.15	Professional	TC	$282.27	$476.48	$814.15
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $615.67 / $772.96 / $772.96	Facility	26	$615.67	$772.96	$772.96
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 $848.54 / $848.54 / $848.54	Professional	26	$848.54	$848.54	$848.54
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