Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $114.82 / $213.80	Facility	26	$87.10	$114.82	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $758.58	Professional		$295.12	$346.74	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $295.12 / $812.83	Professional	26	$112.20	$295.12	$812.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $223.87 / $489.78	Professional	TC	$194.98	$223.87	$489.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $154.88 / $257.04	Professional	26	$66.07	$154.88	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $213.80 / $257.04	Professional	26	$117.49	$213.80	$257.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $234.42 / $416.87	Professional	TC	$64.57	$234.42	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $676.08	Professional		$138.04	$269.15	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $107.15 / $234.42	Professional	26	$64.57	$107.15	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $138.04 / $426.58	Professional	TC	$69.18	$138.04	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $446.68	Professional		$398.11	$398.11	$446.68
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $208.93 / $218.78	Professional	26	$208.93	$208.93	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $416.87	Professional		$131.83	$269.15	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $660.69	Professional		$186.21	$371.54	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $138.04 / $251.19	Professional	26	$81.28	$138.04	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $234.42 / $416.87	Professional	TC	$120.23	$234.42	$416.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,548.13	Professional		$2,754.23	$2,754.23	$3,548.13
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $891.25 / $891.25 / $1,122.02	Professional	26	$891.25	$891.25	$1,122.02
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,862.09 / $1,862.09 / $2,454.71	Professional	TC	$1,862.09	$1,862.09	$2,454.71