Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.30 / $100.30 / $100.30	Facility	26	$100.30	$100.30	$100.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.48 / $279.04 / $436.94	Professional		$240.48	$279.04	$436.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.79 / $100.30 / $156.32	Professional	26	$90.79	$100.30	$156.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.50 / $181.44 / $318.50	Professional	TC	$141.50	$181.44	$318.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $140.75 / $140.75 / $140.75	Professional	26	$140.75	$140.75	$140.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.41 / $127.35 / $321.87	Professional	26	$93.41	$127.35	$321.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.29 / $359.71 / $645.05	Professional	TC	$171.29	$359.71	$645.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.59 / $114.59 / $114.59	Facility	26	$114.59	$114.59	$114.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.43 / $376.03 / $762.77	Professional		$203.43	$376.03	$762.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.85 / $150.44 / $271.18	Professional	26	$99.85	$150.44	$271.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.06 / $228.11 / $506.46	Professional	TC	$87.06	$228.11	$506.46
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $102.69 / $133.00 / $180.70	Facility	26	$102.69	$133.00	$180.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $250.00 / $382.00	Professional		$133.00	$250.00	$382.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $103.49 / $103.49 / $103.49	Professional	26	$103.49	$103.49	$103.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $281.75 / $518.95	Professional		$105.19	$281.75	$518.95
United Facility/Professional Professional Modifier Low / Median / High Price $219.46 / $341.21 / $773.00	Professional		$219.46	$341.21	$773.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.42 / $116.92 / $263.80	Professional	26	$94.42	$116.92	$263.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.15 / $212.76 / $549.23	Professional	TC	$124.15	$212.76	$549.23
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $208.00 / $495.05 / $495.05	Facility	26	$208.00	$495.05	$495.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,013.87 / $2,013.87 / $2,428.35	Professional		$2,013.87	$2,013.87	$2,428.35
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $716.57 / $716.57 / $802.73	Professional	26	$716.57	$716.57	$802.73
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,590.04 / $1,590.04 / $1,625.63	Professional	TC	$1,590.04	$1,590.04	$1,625.63