Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.87 / $88.06 / $129.41	Facility	26	$77.87	$88.06	$129.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.45 / $425.00 / $1,459.50	Professional		$324.45	$425.00	$1,459.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.88 / $119.21 / $345.48	Professional	26	$77.88	$119.21	$345.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $246.56 / $333.56 / $679.56	Professional	TC	$246.56	$333.56	$679.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $310.58 / $310.58	Professional		$310.58	$310.58	$310.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.54 / $57.11 / $161.72	Professional	26	$56.54	$57.11	$161.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.32 / $201.32 / $201.32	Professional		$201.32	$201.32	$201.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $124.54 / $181.75 / $234.06	Professional	26	$124.54	$181.75	$234.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $598.59 / $783.67 / $1,037.55	Professional	TC	$598.59	$783.67	$1,037.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.02 / $731.65 / $1,311.63	Professional		$425.02	$731.65	$1,311.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.41 / $127.53 / $222.44	Professional	26	$74.41	$127.53	$222.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $319.73 / $584.80 / $1,119.52	Professional	TC	$319.73	$584.80	$1,119.52
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $117.86 / $134.00 / $236.55	Facility	26	$117.86	$134.00	$236.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $373.00 / $550.00	Professional		$103.00	$373.00	$550.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $117.86 / $117.86 / $286.60	Professional	26	$117.86	$117.86	$286.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $321.39 / $531.95	Professional		$78.12	$321.39	$531.95
United Facility/Professional Professional Modifier Low / Median / High Price $353.48 / $577.89 / $994.11	Professional		$353.48	$577.89	$994.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.18 / $108.85 / $223.85	Professional	26	$78.18	$108.85	$223.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $268.04 / $491.63 / $783.20	Professional	TC	$268.04	$491.63	$783.20
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $558.79 / $703.76 / $703.76	Facility	26	$558.79	$703.76	$703.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,448.60 / $3,448.60 / $3,448.60	Professional		$3,448.60	$3,448.60	$3,448.60
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $597.70 / $597.70 / $616.42	Professional	26	$597.70	$597.70	$616.42
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $3,030.13 / $3,030.13 / $3,030.13	Professional	TC	$3,030.13	$3,030.13	$3,030.13