Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $141.25 / $426.58	Facility	26	$102.33	$141.25	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $2,187.76	Professional		$346.74	$524.81	$2,187.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $199.53 / $512.86	Professional	26	$97.72	$199.53	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $371.54 / $1,348.96	Professional	TC	$245.47	$371.54	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $870.96	Professional		$275.42	$302.00	$870.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $128.82 / $204.17	Professional	26	$91.20	$128.82	$204.17
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $489.78 / $489.78	Professional	TC	$489.78	$489.78	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $239.88 / $309.03	Professional	26	$144.54	$239.88	$309.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $616.60 / $1,047.13 / $1,479.11	Professional	TC	$616.60	$1,047.13	$1,479.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $117.49 / $165.96	Facility	26	$25.12	$117.49	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $912.01 / $1,778.28	Professional		$416.87	$912.01	$1,778.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $154.88 / $288.40	Professional	26	$89.13	$154.88	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $660.69 / $1,479.11	Professional	TC	$295.12	$660.69	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $190.55 / $190.55	Professional	26	$190.55	$190.55	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $316.23 / $707.95	Professional		$102.33	$316.23	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $707.95 / $1,258.93	Professional		$371.54	$707.95	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $125.89 / $257.04	Professional	26	$97.72	$125.89	$257.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $512.86 / $1,023.29	Professional	TC	$269.15	$512.86	$1,023.29
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	26	$933.25	$933.25	$933.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $891.25 / $891.25 / $891.25	Professional	26	$891.25	$891.25	$891.25
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional	TC	$5,623.41	$5,623.41	$5,623.41