Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.81 / $49.10 / $78.14	Facility	26	$44.81	$49.10	$78.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $95.59 / $261.86	Professional		$90.17	$95.59	$261.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.28 / $49.10 / $122.28	Professional	26	$42.28	$49.10	$122.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.07 / $41.07 / $80.18	Professional	TC	$41.07	$41.07	$80.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.71 / $61.14 / $83.02	Professional	26	$37.71	$61.14	$83.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.90 / $102.24 / $126.10	Professional	26	$68.90	$102.24	$126.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.24 / $134.16 / $247.76	Professional	TC	$82.24	$134.16	$247.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.93 / $56.93 / $56.93	Facility	26	$56.93	$56.93	$56.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $210.38 / $317.82	Professional		$118.13	$210.38	$317.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.01 / $74.97 / $133.49	Professional	26	$48.01	$74.97	$133.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.04 / $106.88 / $204.82	Professional	TC	$55.04	$106.88	$204.82
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $68.88 / $78.00 / $140.80	Facility	26	$68.88	$78.00	$140.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $62.00 / $117.00	Professional		$55.00	$62.00	$117.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $68.88 / $68.88 / $68.88	Professional	26	$68.88	$68.88	$68.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $77.56 / $243.80	Professional		$60.81	$77.56	$243.80
United Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $170.16 / $259.82	Professional		$92.74	$170.16	$259.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.45 / $72.13 / $135.63	Professional	26	$46.45	$72.13	$135.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.84 / $77.37 / $129.22	Professional	TC	$44.84	$77.37	$129.22
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $117.07 / $130.07 / $262.14	Facility	26	$117.07	$130.07	$262.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,173.03 / $1,173.03 / $1,173.03	Professional		$1,173.03	$1,173.03	$1,173.03
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $493.68 / $493.68 / $493.68	Professional	26	$493.68	$493.68	$493.68
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $927.75 / $927.75 / $927.75	Professional	TC	$927.75	$927.75	$927.75