Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.96 / $84.97 / $89.39	Facility	26	$84.96	$84.97	$89.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.94 / $412.07 / $815.58	Professional		$346.94	$412.07	$815.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.09 / $89.44 / $248.58	Professional	26	$79.09	$89.44	$248.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.87 / $327.10 / $623.53	Professional	TC	$265.87	$327.10	$623.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $490.47 / $533.66 / $680.27	Professional		$490.47	$533.66	$680.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $109.37 / $151.71 / $169.56	Professional	26	$109.37	$151.71	$169.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.58 / $165.02 / $267.64	Professional	26	$78.58	$165.02	$267.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $179.46 / $387.06 / $957.75	Professional	TC	$179.46	$387.06	$957.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.38 / $96.38 / $96.38	Facility	26	$96.38	$96.38	$96.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.10 / $545.11 / $1,046.16	Professional		$292.10	$545.11	$1,046.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.50 / $129.01 / $232.80	Professional	26	$84.50	$129.01	$232.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $200.04 / $423.24 / $862.50	Professional	TC	$200.04	$423.24	$862.50
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $89.91 / $115.00 / $151.87	Facility	26	$89.91	$115.00	$151.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $400.00 / $510.00	Professional		$110.00	$400.00	$510.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $89.91 / $89.91 / $89.91	Professional	26	$89.91	$89.91	$89.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $450.00 / $787.93	Professional		$91.74	$450.00	$787.93
United Facility/Professional Professional Modifier Low / Median / High Price $293.79 / $445.69 / $1,136.97	Professional		$293.79	$445.69	$1,136.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.30 / $110.58 / $229.73	Professional	26	$81.30	$110.58	$229.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $212.17 / $357.34 / $878.95	Professional	TC	$212.17	$357.34	$878.95
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $153.72 / $417.76 / $417.76	Facility	26	$153.72	$417.76	$417.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,747.80 / $2,747.80 / $3,731.33	Professional		$2,747.80	$2,747.80	$3,731.33
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $677.18 / $677.18 / $774.69	Professional	26	$677.18	$677.18	$774.69
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,208.88 / $2,208.88 / $3,054.08	Professional	TC	$2,208.88	$2,208.88	$3,054.08