Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.48 / $1,244.51 / $1,491.06	Professional		$1,177.48	$1,244.51	$1,491.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $201.47 / $212.93 / $255.12	Professional	26	$201.47	$212.93	$255.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $976.02 / $1,031.58 / $1,235.94	Professional	TC	$976.02	$1,031.58	$1,235.94
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $52.18 / $57.43 / $131.44	Facility	26	$52.18	$57.43	$131.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $291.00 / $983.04	Professional		$65.00	$291.00	$983.04
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $52.18 / $52.18	Professional	26	$52.18	$52.18	$52.18
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $146.71 / $800.73 / $800.73	Professional	TC	$146.71	$800.73	$800.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $325.27 / $507.43	Professional		$72.64	$325.27	$507.43
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $120.13 / $205.41 / $205.41	Facility	26	$120.13	$205.41	$205.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,782.62 / $1,782.62 / $1,782.62	Professional		$1,782.62	$1,782.62	$1,782.62
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $313.70 / $313.70 / $313.70	Professional	26	$313.70	$313.70	$313.70
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,468.91 / $1,468.91 / $1,468.91	Professional	TC	$1,468.91	$1,468.91	$1,468.91