Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.13 / $56.13 / $56.13	Facility	26	$56.13	$56.13	$56.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.66 / $399.29 / $706.75	Professional		$298.66	$399.29	$706.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.84 / $341.44 / $517.32	Professional	TC	$249.84	$341.44	$517.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.59 / $602.59 / $602.59	Professional		$602.59	$602.59	$602.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $188.10 / $389.58 / $971.51	Professional	TC	$188.10	$389.58	$971.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.38 / $486.62 / $986.71	Professional		$240.38	$486.62	$986.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.42 / $411.48 / $844.16	Professional	TC	$184.42	$411.48	$844.16
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $55.81 / $73.00 / $122.97	Facility	26	$55.81	$73.00	$122.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $395.00 / $500.00	Professional		$73.00	$395.00	$500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $415.98 / $737.65	Professional		$59.29	$415.98	$737.65
United Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $400.23 / $857.09	Professional		$247.52	$400.23	$857.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.80 / $340.68 / $713.86	Professional	TC	$192.80	$340.68	$713.86
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $101.69 / $347.00 / $347.00	Facility	26	$101.69	$347.00	$347.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,673.66 / $2,673.66 / $3,521.78	Professional		$2,673.66	$2,673.66	$3,521.78
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,317.40 / $2,317.40 / $3,073.88	Professional	TC	$2,317.40	$2,317.40	$3,073.88