Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.75 / $45.72 / $82.03	Facility	26	$44.75	$45.72	$82.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.07 / $286.19 / $562.00	Professional		$274.07	$286.19	$562.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.95 / $44.75 / $134.46	Professional	26	$42.95	$44.75	$134.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.32 / $243.24 / $476.30	Professional	TC	$229.32	$243.24	$476.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.04 / $76.31 / $104.06	Professional	26	$37.04	$76.31	$104.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.63 / $111.68 / $139.13	Professional	26	$78.63	$111.68	$139.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $402.99 / $479.84 / $780.80	Professional	TC	$402.99	$479.84	$780.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.82 / $56.82 / $56.82	Facility	26	$56.82	$56.82	$56.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.62 / $580.62 / $904.87	Professional		$360.62	$580.62	$904.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.67 / $92.63 / $144.85	Professional	26	$56.67	$92.63	$144.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.24 / $490.11 / $760.01	Professional	TC	$302.24	$490.11	$760.01
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $68.15 / $118.86 / $154.58	Facility	26	$68.15	$118.86	$154.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $366.00 / $433.00	Professional		$67.00	$366.00	$433.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $377.81 / $377.81 / $377.81	Professional	TC	$377.81	$377.81	$377.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $432.70 / $734.90 / $864.30	Professional		$432.70	$734.90	$864.30
United Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $430.24 / $893.74	Professional		$318.75	$430.24	$893.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.95 / $72.54 / $144.10	Professional	26	$51.95	$72.54	$144.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $267.32 / $357.68 / $742.14	Professional	TC	$267.32	$357.68	$742.14
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $241.59	Facility	26	$117.49	$117.49	$241.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,033.50 / $2,498.03 / $2,498.03	Professional		$2,033.50	$2,498.03	$2,498.03
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $313.45 / $394.35 / $394.35	Professional	26	$313.45	$394.35	$394.35
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,720.04 / $2,103.67 / $2,103.67	Professional	TC	$1,720.04	$2,103.67	$2,103.67