Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.65 / $149.40 / $237.86	Facility	26	$137.65	$149.40	$237.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $434.56 / $488.48	Professional		$317.47	$434.56	$488.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $149.40 / $358.41	Professional	26	$131.81	$149.40	$358.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $285.16 / $285.16	Professional	TC	$185.65	$285.16	$285.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $216.56 / $323.58 / $412.90	Professional	26	$216.56	$323.58	$412.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $262.35 / $372.70 / $556.38	Professional	TC	$262.35	$372.70	$556.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.76 / $172.76 / $172.76	Facility	26	$172.76	$172.76	$172.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.54 / $578.99 / $1,053.23	Professional		$380.54	$578.99	$1,053.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $161.83 / $236.26 / $408.82	Professional	26	$161.83	$236.26	$408.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.66 / $331.13 / $645.67	Professional	TC	$217.66	$331.13	$645.67
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $219.66 / $219.66 / $394.17	Facility	26	$219.66	$219.66	$394.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $256.00 / $446.00	Professional		$190.00	$256.00	$446.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $219.66 / $219.66 / $219.66	Professional	26	$219.66	$219.66	$219.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.57 / $443.24 / $694.12	Professional		$214.57	$443.24	$694.12
United Facility/Professional Professional Modifier Low / Median / High Price $352.19 / $521.91 / $1,032.08	Professional		$352.19	$521.91	$1,032.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $148.12 / $213.97 / $413.06	Professional	26	$148.12	$213.97	$413.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $207.07 / $327.39 / $693.54	Professional	TC	$207.07	$327.39	$693.54
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $357.19 / $357.19 / $767.93	Facility	26	$357.19	$357.19	$767.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,872.34 / $2,872.34 / $3,891.45	Professional		$2,872.34	$2,872.34	$3,891.45
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $948.42 / $948.42 / $1,248.45	Professional	26	$948.42	$948.42	$1,248.45
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,923.92 / $1,923.92 / $2,643.00	Professional	TC	$1,923.92	$1,923.92	$2,643.00