Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.61 / $55.42 / $79.92	Facility	26	$42.61	$55.42	$79.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $284.94 / $529.04	Professional		$267.32	$284.94	$529.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.19 / $43.47 / $136.04	Professional	26	$41.19	$43.47	$136.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $242.33 / $455.86	Professional	TC	$223.84	$242.33	$455.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.51 / $87.61 / $99.77	Professional	26	$35.51	$87.61	$99.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.38 / $111.27 / $132.19	Professional	26	$75.38	$111.27	$132.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $298.70 / $431.72 / $632.83	Professional	TC	$298.70	$431.72	$632.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.48 / $54.48 / $54.48	Facility	26	$54.48	$54.48	$54.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.79 / $565.24 / $918.72	Professional		$268.79	$565.24	$918.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.08 / $89.91 / $138.01	Professional	26	$52.08	$89.91	$138.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $209.16 / $481.09 / $780.70	Professional	TC	$209.16	$481.09	$780.70
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $73.06 / $85.00 / $158.34	Facility	26	$73.06	$85.00	$158.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $384.00 / $447.00	Professional		$64.00	$384.00	$447.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $73.06 / $73.06 / $73.06	Professional	26	$73.06	$73.06	$73.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $672.00 / $900.40	Professional		$294.00	$672.00	$900.40
United Facility/Professional Professional Modifier Low / Median / High Price $280.69 / $437.61 / $931.71	Professional		$280.69	$437.61	$931.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.77 / $69.54 / $136.01	Professional	26	$48.77	$69.54	$136.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.12 / $372.92 / $775.65	Professional	TC	$219.12	$372.92	$775.65
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $112.48 / $122.71 / $231.75	Facility	26	$112.48	$122.71	$231.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,116.12 / $2,116.12 / $2,616.38	Professional		$2,116.12	$2,116.12	$2,616.38
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $350.03 / $350.03 / $378.60	Professional	26	$350.03	$350.03	$378.60
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,817.68 / $1,817.68 / $2,237.78	Professional	TC	$1,817.68	$1,817.68	$2,237.78