Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $100.94 / $157.12	Facility	26	$83.00	$100.94	$157.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.93 / $388.85 / $1,186.81	Professional		$323.93	$388.85	$1,186.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.53 / $100.52 / $275.58	Professional	26	$84.53	$100.52	$275.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $236.16 / $304.31 / $626.12	Professional	TC	$236.16	$304.31	$626.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $255.19 / $623.86 / $864.68	Professional		$255.19	$623.86	$864.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.98 / $126.61 / $299.07	Professional	26	$70.98	$126.61	$299.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $189.72 / $264.22 / $316.63	Professional	TC	$189.72	$264.22	$316.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $158.05 / $227.94 / $291.00	Professional	26	$158.05	$227.94	$291.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $510.24 / $628.23 / $902.49	Professional	TC	$510.24	$628.23	$902.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.46 / $108.46 / $108.46	Facility	26	$108.46	$108.46	$108.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.90 / $653.24 / $1,025.63	Professional		$406.90	$653.24	$1,025.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.56 / $158.38 / $275.23	Professional	26	$103.56	$158.38	$275.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.01 / $478.87 / $820.34	Professional	TC	$295.01	$478.87	$820.34
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $142.26 / $157.75 / $294.52	Facility	26	$142.26	$157.75	$294.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $314.00 / $475.00	Professional		$128.00	$314.00	$475.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $478.35 / $478.35 / $940.46	Professional	TC	$478.35	$478.35	$940.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $315.14 / $549.12	Professional		$119.03	$315.14	$549.12
United Facility/Professional Professional Modifier Low / Median / High Price $351.77 / $523.13 / $964.46	Professional		$351.77	$523.13	$964.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.37 / $139.25 / $270.18	Professional	26	$97.37	$139.25	$270.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.93 / $397.16 / $692.81	Professional	TC	$251.93	$397.16	$692.81
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $690.96 / $868.88 / $868.88	Facility	26	$690.96	$868.88	$868.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,326.86 / $2,876.93 / $2,876.93	Professional		$2,326.86	$2,876.93	$2,876.93
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $600.70 / $763.13 / $763.13	Professional	26	$600.70	$763.13	$763.13
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,909.00 / $2,909.00 / $2,909.00	Professional	TC	$2,909.00	$2,909.00	$2,909.00