Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.79 / $59.54 / $82.86	Facility	26	$44.79	$59.54	$82.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $318.73 / $577.42	Professional		$316.02	$318.73	$577.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.79 / $46.60 / $121.94	Professional	26	$44.79	$46.60	$121.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $271.23 / $272.87 / $500.71	Professional	TC	$271.23	$272.87	$500.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.28 / $104.85 / $155.82	Professional	26	$37.28	$104.85	$155.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.00 / $117.76 / $142.22	Professional	26	$79.00	$117.76	$142.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $378.88 / $526.39 / $744.35	Professional	TC	$378.88	$526.39	$744.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.28 / $57.28 / $57.28	Facility	26	$57.28	$57.28	$57.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.33 / $600.45 / $923.58	Professional		$323.33	$600.45	$923.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.14 / $93.23 / $144.03	Professional	26	$56.14	$93.23	$144.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $261.91 / $511.30 / $781.15	Professional	TC	$261.91	$511.30	$781.15
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $77.75 / $91.00 / $161.72	Facility	26	$77.75	$91.00	$161.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $376.00 / $442.00	Professional		$66.00	$376.00	$442.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $77.75 / $77.75 / $77.75	Professional	26	$77.75	$77.75	$77.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $383.70 / $656.00 / $999.50	Professional		$383.70	$656.00	$999.50
United Facility/Professional Professional Modifier Low / Median / High Price $324.47 / $450.42 / $996.57	Professional		$324.47	$450.42	$996.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.72 / $69.70 / $144.24	Professional	26	$51.72	$69.70	$144.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $280.27 / $422.01 / $875.90	Professional	TC	$280.27	$422.01	$875.90
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $118.60 / $149.71 / $242.96	Facility	26	$118.60	$149.71	$242.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,348.14 / $2,348.14 / $2,851.13	Professional		$2,348.14	$2,348.14	$2,851.13
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $379.76 / $379.76 / $396.68	Professional	26	$379.76	$379.76	$396.68
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,034.68 / $2,034.68 / $2,454.38	Professional	TC	$2,034.68	$2,034.68	$2,454.38