Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.00 / $41.05 / $63.85	Facility	26	$38.00	$41.05	$63.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.75 / $378.96 / $734.85	Professional		$359.75	$378.96	$734.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.71 / $38.01 / $117.52	Professional	26	$36.71	$38.01	$117.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $321.74 / $346.33 / $670.78	Professional	TC	$321.74	$346.33	$670.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.41 / $64.78 / $88.34	Professional	26	$31.41	$64.78	$88.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.63 / $93.75 / $117.40	Professional	26	$63.63	$93.75	$117.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $448.39 / $584.26 / $825.79	Professional	TC	$448.39	$584.26	$825.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.92 / $47.92 / $47.92	Facility	26	$47.92	$47.92	$47.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.10 / $763.05 / $1,210.59	Professional		$502.10	$763.05	$1,210.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.82 / $78.42 / $122.44	Professional	26	$47.82	$78.42	$122.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $452.85 / $698.09 / $1,088.76	Professional	TC	$452.85	$698.09	$1,088.76
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $57.69 / $98.40 / $112.39	Facility	26	$57.69	$98.40	$112.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $524.00 / $580.00	Professional		$56.00	$524.00	$580.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $407.63 / $407.63 / $407.63	Professional	TC	$407.63	$407.63	$407.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $993.10 / $1,142.09 / $1,144.09	Professional		$993.10	$1,142.09	$1,144.09
United Facility/Professional Professional Modifier Low / Median / High Price $426.83 / $600.79 / $1,172.63	Professional		$426.83	$600.79	$1,172.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.54 / $57.75 / $122.62	Professional	26	$43.54	$57.75	$122.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $381.01 / $522.60 / $1,046.84	Professional	TC	$381.01	$522.60	$1,046.84
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $99.49 / $99.49 / $205.20	Facility	26	$99.49	$99.49	$205.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,679.53 / $3,293.78 / $3,293.78	Professional		$2,679.53	$3,293.78	$3,293.78
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $266.22 / $336.30 / $336.30	Professional	26	$266.22	$336.30	$336.30
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,413.31 / $2,957.48 / $2,957.48	Professional	TC	$2,413.31	$2,957.48	$2,957.48