Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $94.06 / $113.15	Facility	26	$87.95	$94.06	$113.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $337.88 / $721.25	Professional		$282.58	$337.88	$721.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.82 / $133.85 / $405.17	Professional	26	$112.82	$133.85	$405.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.94 / $220.31 / $519.02	Professional	TC	$181.94	$220.31	$519.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.94 / $416.94 / $416.94	Professional		$416.94	$416.94	$416.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.78 / $146.63 / $259.77	Professional	26	$65.78	$146.63	$259.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $271.72 / $271.72 / $271.72	Professional	TC	$271.72	$271.72	$271.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.41 / $210.51 / $257.00	Professional	26	$118.41	$210.51	$257.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.29 / $233.15 / $393.76	Professional	TC	$64.29	$233.15	$393.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $262.33 / $715.68	Professional		$134.33	$262.33	$715.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.08 / $107.41 / $233.09	Professional	26	$63.08	$107.41	$233.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.37 / $137.18 / $439.66	Professional	TC	$67.37	$137.18	$439.66
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $145.00 / $176.73 / $292.00	Facility	26	$145.00	$176.73	$292.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $96.90 / $96.90	Professional		$96.90	$96.90	$96.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $253.90 / $739.79	Professional		$85.52	$253.90	$739.79
United Facility/Professional Professional Modifier Low / Median / High Price $188.34 / $404.30 / $598.72	Professional		$188.34	$404.30	$598.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.19 / $135.00 / $244.26	Professional	26	$81.19	$135.00	$244.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $105.31 / $233.13 / $385.89	Professional	TC	$105.31	$233.13	$385.89
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $698.35 / $698.35 / $698.35	Facility	26	$698.35	$698.35	$698.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,755.28 / $2,755.28 / $3,572.93	Professional		$2,755.28	$2,755.28	$3,572.93
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $895.79 / $895.79 / $1,118.55	Professional	26	$895.79	$895.79	$1,118.55
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,859.49 / $1,859.49 / $2,454.38	Professional	TC	$1,859.49	$1,859.49	$2,454.38