Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.42 / $93.58 / $142.46	Facility	26	$85.42	$93.58	$142.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.51 / $425.00 / $914.37	Professional		$342.51	$425.00	$914.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.42 / $130.68 / $380.94	Professional	26	$85.42	$130.68	$380.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.08 / $335.00 / $699.69	Professional	TC	$257.08	$335.00	$699.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $500.47 / $500.47 / $500.47	Professional		$500.47	$500.47	$500.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.87 / $78.33 / $178.07	Professional	26	$62.87	$78.33	$178.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.85 / $226.85 / $226.85	Professional		$226.85	$226.85	$226.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $143.16 / $199.02 / $260.64	Professional	26	$143.16	$199.02	$260.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $542.34 / $777.52 / $1,034.06	Professional	TC	$542.34	$777.52	$1,034.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.95 / $96.95 / $96.95	Facility	26	$96.95	$96.95	$96.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.60 / $713.67 / $1,245.09	Professional		$439.60	$713.67	$1,245.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.40 / $141.66 / $245.11	Professional	26	$83.40	$141.66	$245.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $334.37 / $568.19 / $1,054.68	Professional	TC	$334.37	$568.19	$1,054.68
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $131.18 / $149.00 / $263.32	Facility	26	$131.18	$149.00	$263.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $384.00 / $497.00	Professional		$113.00	$384.00	$497.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $131.18 / $131.18 / $314.35	Professional	26	$131.18	$131.18	$314.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $353.79 / $786.83	Professional		$90.45	$353.79	$786.83
United Facility/Professional Professional Modifier Low / Median / High Price $375.84 / $621.64 / $1,034.52	Professional		$375.84	$621.64	$1,034.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.40 / $119.59 / $234.21	Professional	26	$80.40	$119.59	$234.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $277.38 / $464.34 / $797.12	Professional	TC	$277.38	$464.34	$797.12
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $614.96 / $774.40 / $774.40	Facility	26	$614.96	$774.40	$774.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,043.62 / $3,048.68 / $3,048.68	Professional		$3,043.62	$3,048.68	$3,048.68
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $854.80 / $854.80 / $854.80	Professional	26	$854.80	$854.80	$854.80
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,573.94 / $2,632.62 / $2,632.62	Professional	TC	$2,573.94	$2,632.62	$2,632.62