Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.70 / $126.00 / $182.93	Facility	26	$108.70	$126.00	$182.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.64 / $475.00 / $1,676.88	Professional		$327.64	$475.00	$1,676.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.67 / $143.00 / $389.19	Professional	26	$100.67	$143.00	$389.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.95 / $335.00 / $712.45	Professional	TC	$218.95	$335.00	$712.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.17 / $318.89 / $812.12	Professional		$242.17	$318.89	$812.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.38 / $144.31 / $228.89	Professional	26	$81.38	$144.31	$228.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $330.53 / $330.53 / $1,040.00	Professional	TC	$330.53	$330.53	$1,040.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.58 / $295.58 / $295.58	Professional		$295.58	$295.58	$295.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $186.03 / $272.32 / $332.70	Professional	26	$186.03	$272.32	$332.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $630.39 / $989.26 / $1,475.46	Professional	TC	$630.39	$989.26	$1,475.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.22 / $124.22 / $124.22	Facility	26	$124.22	$124.22	$124.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.06 / $963.22 / $1,865.15	Professional		$429.06	$963.22	$1,865.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.20 / $184.69 / $316.08	Professional	26	$108.20	$184.69	$316.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $285.01 / $660.90 / $1,631.38	Professional	TC	$285.01	$660.90	$1,631.38
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $170.34 / $250.02 / $402.00	Facility	26	$170.34	$250.02	$402.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $327.00 / $700.00	Professional		$146.00	$327.00	$700.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $170.34 / $170.34 / $400.02	Professional	26	$170.34	$170.34	$400.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.82 / $317.82 / $543.79	Professional		$111.82	$317.82	$543.79
United Facility/Professional Professional Modifier Low / Median / High Price $351.68 / $671.99 / $1,275.91	Professional		$351.68	$671.99	$1,275.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $151.13 / $315.64	Professional	26	$112.20	$151.13	$315.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $238.23 / $464.30 / $965.05	Professional	TC	$238.23	$464.30	$965.05
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $794.00 / $996.56 / $996.56	Facility	26	$794.00	$996.56	$996.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,330.97 / $6,330.97 / $6,330.97	Professional		$6,330.97	$6,330.97	$6,330.97
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $921.60 / $921.60 / $921.60	Professional	26	$921.60	$921.60	$921.60
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $5,717.71 / $5,717.71 / $5,717.71	Professional	TC	$5,717.71	$5,717.71	$5,717.71