Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $239.88 / $512.86	Facility	26	$147.91	$239.88	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $741.31	Professional		$316.23	$436.52	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $154.88 / $389.05	Professional	26	$128.82	$154.88	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $281.84 / $478.63	Professional	TC	$186.21	$281.84	$478.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $144.54 / $257.04	Professional	26	$144.54	$144.54	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $323.59 / $436.52	Professional	26	$208.93	$323.59	$436.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $363.08 / $588.84	Professional	TC	$263.03	$363.08	$588.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $173.78 / $251.19	Facility	26	$37.15	$173.78	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,023.29	Professional		$389.05	$588.84	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $234.42 / $407.38	Professional	26	$162.18	$234.42	$407.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $354.81 / $645.65	Professional	TC	$223.87	$354.81	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $676.08	Professional		$213.80	$416.87	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $954.99	Professional		$346.74	$512.86	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $204.17 / $389.05	Professional	26	$147.91	$204.17	$389.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $302.00 / $602.56	Professional	TC	$199.53	$302.00	$602.56
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,890.45	Professional		$2,884.03	$2,884.03	$3,890.45
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $954.99 / $954.99 / $1,258.93	Professional	26	$954.99	$954.99	$1,258.93
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,905.46 / $1,905.46 / $2,630.27	Professional	TC	$1,905.46	$1,905.46	$2,630.27