Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $221.36 / $243.57 / $351.20	Facility	26	$221.36	$243.57	$351.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.78 / $504.95 / $1,336.30	Professional		$457.78	$504.95	$1,336.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $198.28 / $221.36 / $608.19	Professional	26	$198.28	$221.36	$608.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $236.41 / $236.42 / $613.79	Professional	TC	$236.41	$236.42	$613.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $376.17 / $376.17 / $619.08	Professional		$376.17	$376.17	$619.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $170.25 / $284.31 / $638.42	Professional	26	$170.25	$284.31	$638.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $319.22 / $465.05 / $602.52	Professional	26	$319.22	$465.05	$602.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $437.66 / $730.58 / $1,683.53	Professional	TC	$437.66	$730.58	$1,683.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $256.04 / $256.04 / $256.04	Facility	26	$256.04	$256.04	$256.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.69 / $1,127.91 / $1,820.56	Professional		$599.69	$1,127.91	$1,820.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $230.73 / $358.50 / $603.63	Professional	26	$230.73	$358.50	$603.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $320.64 / $636.77 / $1,417.48	Professional	TC	$320.64	$636.77	$1,417.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $329.36 / $440.00 / $745.21	Facility	26	$329.36	$440.00	$745.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $337.00 / $617.00	Professional		$280.00	$337.00	$617.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $329.36 / $329.36 / $329.36	Professional	26	$329.36	$329.36	$329.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $318.01 / $382.22 / $1,247.80	Professional		$318.01	$382.22	$1,247.80
United Facility/Professional Professional Modifier Low / Median / High Price $473.17 / $896.47 / $1,473.78	Professional		$473.17	$896.47	$1,473.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $220.07 / $327.90 / $609.91	Professional	26	$220.07	$327.90	$609.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $254.63 / $474.47 / $860.39	Professional	TC	$254.63	$474.47	$860.39
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $528.44 / $528.44 / $1,325.34	Facility	26	$528.44	$528.44	$1,325.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,602.48 / $7,602.48 / $7,602.48	Professional		$7,602.48	$7,602.48	$7,602.48
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $1,699.00 / $1,699.00 / $1,841.48	Professional	26	$1,699.00	$1,699.00	$1,841.48
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $6,420.95 / $6,420.95 / $6,420.95	Professional	TC	$6,420.95	$6,420.95	$6,420.95