Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.04 / $63.06 / $92.54	Facility	26	$55.04	$63.06	$92.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.25 / $267.55 / $981.36	Professional		$224.25	$267.55	$981.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.49 / $202.51	Professional	26	$50.07	$58.49	$202.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.21 / $210.98 / $380.07	Professional	TC	$169.21	$210.98	$380.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.36 / $563.58 / $563.58	Professional		$170.36	$563.58	$563.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.94 / $73.65 / $138.75	Professional	26	$40.94	$73.65	$138.75
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $155.57 / $155.57 / $155.57	Professional	TC	$155.57	$155.57	$155.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.77 / $144.77 / $144.77	Professional		$144.77	$144.77	$144.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.72 / $135.12 / $167.80	Professional	26	$91.72	$135.12	$167.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $378.43 / $443.28 / $713.95	Professional	TC	$378.43	$443.28	$713.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $429.19 / $736.91	Professional		$273.88	$429.19	$736.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.34 / $90.64 / $159.05	Professional	26	$53.34	$90.64	$159.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.62 / $333.78 / $581.29	Professional	TC	$208.62	$333.78	$581.29
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $83.78 / $123.00 / $182.00	Facility	26	$83.78	$123.00	$182.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $209.00 / $319.00	Professional		$74.00	$209.00	$319.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $83.78 / $83.78 / $202.58	Professional	26	$83.78	$83.78	$202.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $208.25 / $382.04	Professional		$55.87	$208.25	$382.04
United Facility/Professional Professional Modifier Low / Median / High Price $231.12 / $354.12 / $642.66	Professional		$231.12	$354.12	$642.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.68 / $82.87 / $162.38	Professional	26	$55.68	$82.87	$162.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.46 / $261.20 / $469.40	Professional	TC	$173.46	$261.20	$469.40
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $397.76 / $501.04 / $501.04	Facility	26	$397.76	$501.04	$501.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,871.61 / $1,871.61 / $1,931.70	Professional		$1,871.61	$1,871.61	$1,931.70
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $364.90 / $364.90 / $438.60	Professional	26	$364.90	$364.90	$438.60
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,571.91 / $1,571.91 / $1,571.91	Professional	TC	$1,571.91	$1,571.91	$1,571.91