Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $128.82 / $338.84	Facility	26	$85.11	$128.82	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $1,318.26	Professional		$281.84	$457.09	$1,318.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $398.11	Professional	26	$85.11	$141.25	$398.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $323.59 / $707.95	Professional	TC	$194.98	$323.59	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $213.80	Professional	26	$77.62	$77.62	$213.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $288.40 / $295.12	Professional	TC	$288.40	$288.40	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $234.42 / $275.42	Professional	26	$147.91	$234.42	$275.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $660.69 / $1,047.13	Professional	TC	$436.52	$660.69	$1,047.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $97.72 / $138.04	Facility	26	$20.89	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $676.08 / $1,230.27	Professional		$331.13	$676.08	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $134.90 / $245.47	Professional	26	$75.86	$134.90	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $489.78 / $977.24	Professional	TC	$223.87	$489.78	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	26	$169.82	$169.82	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $251.19 / $549.54	Professional		$87.10	$251.19	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $870.96	Professional		$302.00	$524.81	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $109.65 / $218.78	Professional	26	$85.11	$109.65	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $398.11 / $676.08	Professional	TC	$213.80	$398.11	$676.08
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $645.65 / $645.65 / $691.83	Professional	26	$645.65	$645.65	$691.83
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional	TC	$3,090.30	$3,090.30	$3,090.30