Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.41 / $83.73 / $122.08	Facility	26	$73.41	$83.73	$122.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $403.68 / $661.59	Professional		$305.39	$403.68	$661.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.08 / $73.41 / $177.33	Professional	26	$61.08	$73.41	$177.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.32 / $330.27 / $562.76	Professional	TC	$244.32	$330.27	$562.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $73.79 / $73.79 / $73.79	Professional	26	$73.79	$73.79	$73.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.31 / $172.71 / $216.20	Professional	26	$109.31	$172.71	$216.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $462.83 / $606.16 / $821.15	Professional	TC	$462.83	$606.16	$821.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.63 / $83.63 / $83.63	Facility	26	$83.63	$83.63	$83.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.53 / $801.52 / $1,185.24	Professional		$539.53	$801.52	$1,185.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.77 / $137.34 / $210.99	Professional	26	$88.77	$137.34	$210.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $443.48 / $664.59 / $974.25	Professional	TC	$443.48	$664.59	$974.25
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $114.18 / $114.18 / $193.86	Facility	26	$114.18	$114.18	$193.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $436.00 / $533.00	Professional		$97.00	$436.00	$533.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $114.18 / $114.18 / $114.18	Professional	26	$114.18	$114.18	$114.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.30 / $1,142.30 / $1,142.30	Professional		$1,142.30	$1,142.30	$1,142.30
United Facility/Professional Professional Modifier Low / Median / High Price $371.50 / $517.94 / $1,095.07	Professional		$371.50	$517.94	$1,095.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.84 / $106.24 / $211.31	Professional	26	$76.84	$106.24	$211.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.25 / $426.51 / $891.65	Professional	TC	$296.25	$426.51	$891.65
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $173.90 / $173.90 / $356.06	Facility	26	$173.90	$173.90	$356.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,692.02 / $3,274.95 / $3,274.95	Professional		$2,692.02	$3,274.95	$3,274.95
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $462.06 / $581.78 / $581.78	Professional	26	$462.06	$581.78	$581.78
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,230.02 / $2,693.18 / $2,693.18	Professional	TC	$2,230.02	$2,693.18	$2,693.18