Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $108.56 / $173.93	Professional		$94.37	$108.56	$173.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.91 / $76.81 / $108.11	Professional	26	$71.91	$76.81	$108.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $29.76 / $37.56	Professional	TC	$19.69	$29.76	$37.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $114.97 / $173.93	Professional		$96.86	$114.97	$173.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $137.19 / $137.19 / $137.19	Professional	26	$137.19	$137.19	$137.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.41 / $85.69 / $197.37	Professional	26	$71.41	$85.69	$197.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.95 / $28.18 / $53.29	Professional	TC	$20.95	$28.18	$53.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.92 / $86.92 / $86.92	Facility	26	$86.92	$86.92	$86.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $141.49 / $267.07	Professional		$95.95	$141.49	$267.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.81 / $114.21 / $200.48	Professional	26	$68.81	$114.21	$200.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $35.96 / $68.84	Professional	TC	$17.62	$35.96	$68.84
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $82.13 / $89.59 / $144.32	Facility	26	$82.13	$89.59	$144.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $99.00 / $126.00	Professional		$27.00	$99.00	$126.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $99.68 / $167.24	Professional		$35.92	$99.68	$167.24
United Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $98.64 / $192.39	Professional		$76.80	$98.64	$192.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.65 / $77.23 / $145.84	Professional	26	$54.65	$77.23	$145.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.21 / $22.20 / $43.52	Professional	TC	$16.21	$22.20	$43.52
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $136.99 / $177.91 / $379.86	Facility	26	$136.99	$177.91	$379.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $702.18 / $855.00 / $855.00	Professional		$702.18	$855.00	$855.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $487.97 / $607.73 / $607.73	Professional	26	$487.97	$607.73	$607.73
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $214.27 / $247.28 / $247.28	Professional	TC	$214.27	$247.28	$247.28