Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $117.49 / $338.84	Facility	26	$97.72	$117.49	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $1,778.28	Professional		$316.23	$478.63	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $181.97 / $524.81	Professional	26	$97.72	$181.97	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $275.42 / $645.65	Professional	TC	$208.93	$275.42	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $870.96	Professional		$257.04	$309.03	$870.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $204.17	Professional	26	$83.18	$112.20	$204.17
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $234.42 / $363.08	Professional	TC	$177.83	$234.42	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $251.19 / $338.84	Professional	26	$169.82	$251.19	$338.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $524.81 / $812.83	Professional	TC	$371.54	$524.81	$812.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $125.89 / $177.83	Facility	26	$26.92	$125.89	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $1,047.13	Professional		$389.05	$602.56	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $165.96 / $302.00	Professional	26	$95.50	$165.96	$302.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $416.87 / $724.44	Professional	TC	$275.42	$416.87	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $316.23 / $616.60	Professional		$109.65	$316.23	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $724.44 / $1,412.54	Professional		$380.19	$724.44	$1,412.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $123.03 / $239.88	Professional	26	$81.28	$123.03	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $562.34 / $1,148.15	Professional	TC	$269.15	$562.34	$1,148.15
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	26	$1,000.00	$1,000.00	$1,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,884.03	Professional		$2,344.23	$2,344.23	$2,884.03
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $691.83 / $691.83 / $891.25	Professional	26	$691.83	$691.83	$891.25
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,659.59 / $1,659.59 / $2,041.74	Professional	TC	$1,659.59	$1,659.59	$2,041.74