Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $221.36 / $234.64 / $340.49	Facility	26	$221.36	$234.64	$340.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.47 / $442.29 / $1,257.69	Professional		$402.47	$442.29	$1,257.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $190.19 / $221.36 / $623.62	Professional	26	$190.19	$221.36	$623.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.93 / $220.93 / $430.21	Professional	TC	$220.93	$220.93	$430.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.18 / $367.94 / $605.80	Professional		$346.18	$367.94	$605.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $170.25 / $297.72 / $393.33	Professional	26	$170.25	$297.72	$393.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $321.81 / $443.93 / $613.58	Professional	26	$321.81	$443.93	$613.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $349.82 / $555.09 / $713.16	Professional	TC	$349.82	$555.09	$713.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $256.39 / $256.39 / $256.39	Facility	26	$256.39	$256.39	$256.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.46 / $756.32 / $1,285.53	Professional		$497.46	$756.32	$1,285.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $239.87 / $368.37 / $603.63	Professional	26	$239.87	$368.37	$603.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $256.33 / $401.95 / $676.93	Professional	TC	$256.33	$401.95	$676.93
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $321.81 / $321.81 / $622.16	Facility	26	$321.81	$321.81	$622.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $358.00 / $638.00	Professional		$280.00	$358.00	$638.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $349.82 / $349.82 / $349.82	Professional	TC	$349.82	$349.82	$349.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $311.88 / $366.32 / $915.80	Professional		$311.88	$366.32	$915.80
United Facility/Professional Professional Modifier Low / Median / High Price $471.90 / $711.41 / $1,277.00	Professional		$471.90	$711.41	$1,277.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $222.52 / $326.63 / $635.04	Professional	26	$222.52	$326.63	$635.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.85 / $336.69 / $676.09	Professional	TC	$245.85	$336.69	$676.09
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $528.44 / $528.44 / $1,135.96	Facility	26	$528.44	$528.44	$1,135.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,895.04 / $2,895.04 / $3,961.13	Professional		$2,895.04	$2,895.04	$3,961.13
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $1,405.16 / $1,405.16 / $1,841.48	Professional	26	$1,405.16	$1,405.16	$1,841.48
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,489.88 / $1,489.88 / $2,119.73	Professional	TC	$1,489.88	$1,489.88	$2,119.73