Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.43 / $48.47 / $75.95	Facility	26	$45.43	$48.47	$75.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $261.73 / $436.57	Professional		$206.63	$261.73	$436.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.69 / $48.09 / $129.63	Professional	26	$42.69	$48.09	$129.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $216.30 / $366.55	Professional	TC	$162.49	$216.30	$366.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $37.99 / $114.53	Professional	26	$33.34	$37.99	$114.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $123.35 / $123.35	Professional		$123.35	$123.35	$123.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.95 / $97.05 / $153.44	Professional	26	$41.95	$97.05	$153.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.79 / $284.48 / $390.50	Professional	TC	$181.79	$284.48	$390.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.19 / $52.19 / $52.19	Facility	26	$52.19	$52.19	$52.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.33 / $414.38 / $656.72	Professional		$274.33	$414.38	$656.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.60 / $68.81 / $112.39	Professional	26	$46.60	$68.81	$112.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $227.28 / $346.48 / $562.19	Professional	TC	$227.28	$346.48	$562.19
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $48.77 / $82.00 / $111.99	Facility	26	$48.77	$82.00	$111.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $286.00 / $963.17	Professional		$60.00	$286.00	$963.17
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $48.77 / $82.00 / $167.18	Professional	26	$48.77	$82.00	$167.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $287.39 / $452.48	Professional		$65.81	$287.39	$452.48
United Facility/Professional Professional Modifier Low / Median / High Price $260.24 / $352.24 / $716.46	Professional		$260.24	$352.24	$716.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.49 / $62.03 / $123.45	Professional	26	$44.49	$62.03	$123.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.01 / $290.13 / $574.66	Professional	TC	$213.01	$290.13	$574.66
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $104.57 / $221.73 / $221.73	Facility	26	$104.57	$221.73	$221.73
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,956.28 / $1,956.28 / $2,158.73	Professional		$1,956.28	$1,956.28	$2,158.73
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $467.26 / $467.26 / $588.72	Professional	26	$467.26	$467.26	$588.72
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,685.53 / $1,685.53 / $1,797.00	Professional	TC	$1,685.53	$1,685.53	$1,797.00