Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.39 / $66.34 / $100.99	Facility	26	$60.39	$66.34	$100.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.16 / $225.20 / $547.77	Professional		$188.16	$225.20	$547.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $60.97 / $174.04	Professional	26	$55.00	$60.97	$174.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.78 / $152.90 / $359.11	Professional	TC	$127.78	$152.90	$359.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.28 / $139.28 / $139.28	Professional		$139.28	$139.28	$139.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.76 / $45.32 / $67.34	Professional	26	$44.76	$45.32	$67.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.55 / $176.55 / $176.55	Professional		$176.55	$176.55	$176.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.96 / $166.22 / $188.56	Professional	26	$110.96	$166.22	$188.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $355.90 / $509.36 / $839.32	Professional	TC	$355.90	$509.36	$839.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.49 / $430.79 / $838.27	Professional		$246.49	$430.79	$838.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.00 / $104.40 / $177.74	Professional	26	$65.00	$104.40	$177.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.80 / $316.26 / $677.39	Professional	TC	$164.80	$316.26	$677.39
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $102.30 / $117.00 / $186.59	Facility	26	$102.30	$117.00	$186.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $175.00 / $275.00	Professional		$80.00	$175.00	$275.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $102.30 / $102.30 / $222.24	Professional	26	$102.30	$102.30	$222.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $186.45 / $314.02	Professional		$61.84	$186.45	$314.02
United Facility/Professional Professional Modifier Low / Median / High Price $195.09 / $348.08 / $599.85	Professional		$195.09	$348.08	$599.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.25 / $88.67 / $178.29	Professional	26	$63.25	$88.67	$178.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.84 / $276.86 / $421.27	Professional	TC	$131.84	$276.86	$421.27
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $434.48 / $546.72 / $546.72	Facility	26	$434.48	$546.72	$546.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,989.67 / $2,075.08 / $2,075.08	Professional		$1,989.67	$2,075.08	$2,075.08
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $460.66 / $460.66 / $479.55	Professional	26	$460.66	$460.66	$479.55
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,624.23 / $1,726.78 / $1,726.78	Professional	TC	$1,624.23	$1,726.78	$1,726.78