Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.68 / $87.64 / $136.41	Facility	26	$82.68	$87.64	$136.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.72 / $215.12 / $906.00	Professional		$185.72	$215.12	$906.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.87 / $89.29 / $285.25	Professional	26	$72.87	$89.29	$285.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.30 / $129.34 / $330.21	Professional	TC	$95.30	$129.34	$330.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.15 / $184.42 / $464.05	Professional		$139.15	$184.42	$464.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.06 / $126.84 / $209.23	Professional	26	$61.06	$126.84	$209.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $141.13 / $141.13 / $471.25	Professional	TC	$141.13	$141.13	$471.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $136.26 / $204.80 / $253.08	Professional	26	$136.26	$204.80	$253.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $202.32 / $263.41 / $361.65	Professional	TC	$202.32	$263.41	$361.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.15 / $94.15 / $94.15	Facility	26	$94.15	$94.15	$94.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.38 / $345.94 / $554.92	Professional		$218.38	$345.94	$554.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.02 / $136.56 / $238.68	Professional	26	$90.02	$136.56	$238.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.71 / $201.92 / $331.18	Professional	TC	$121.71	$201.92	$331.18
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $122.67 / $131.41 / $255.88	Facility	26	$122.67	$131.41	$255.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $141.00 / $313.55	Professional		$111.00	$141.00	$313.55
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $189.68 / $189.68 / $379.22	Professional	TC	$189.68	$189.68	$379.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.22 / $150.33 / $300.79	Professional		$84.22	$150.33	$300.79
United Facility/Professional Professional Modifier Low / Median / High Price $192.73 / $282.75 / $544.14	Professional		$192.73	$282.75	$544.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.47 / $114.42 / $240.82	Professional	26	$86.47	$114.42	$240.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.09 / $159.65 / $307.17	Professional	TC	$106.09	$159.65	$307.17
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $598.00 / $752.64 / $752.64	Facility	26	$598.00	$752.64	$752.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,217.23 / $1,550.48 / $1,550.48	Professional		$1,217.23	$1,550.48	$1,550.48
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $521.24 / $659.93 / $659.93	Professional	26	$521.24	$659.93	$659.93
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,308.00 / $1,308.00 / $1,308.00	Professional	TC	$1,308.00	$1,308.00	$1,308.00