Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.21 / $64.95 / $103.24	Facility	26	$61.21	$64.95	$103.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $370.83 / $920.39	Professional		$215.53	$370.83	$920.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.00 / $106.11 / $271.10	Professional	26	$57.00	$106.11	$271.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.75 / $159.02 / $291.83	Professional	TC	$152.75	$159.02	$291.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $305.33 / $396.36 / $396.36	Professional		$305.33	$396.36	$396.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $86.98 / $86.98 / $110.88	Professional	26	$86.98	$86.98	$110.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.95 / $165.95 / $165.95	Professional		$165.95	$165.95	$165.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.74 / $131.69 / $197.89	Professional	26	$86.74	$131.69	$197.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.55 / $305.51 / $444.56	Professional	TC	$208.55	$305.51	$444.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.50 / $69.50 / $69.50	Facility	26	$69.50	$69.50	$69.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.22 / $324.36 / $588.20	Professional		$232.22	$324.36	$588.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.14 / $98.88 / $167.97	Professional	26	$67.14	$98.88	$167.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.24 / $231.84 / $417.59	Professional	TC	$161.24	$231.84	$417.59
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $71.09 / $109.00 / $152.80	Facility	26	$71.09	$109.00	$152.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $216.00 / $800.55	Professional		$81.00	$216.00	$800.55
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $71.09 / $71.09 / $109.00	Professional	26	$71.09	$71.09	$109.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $575.26 / $575.26 / $575.26	Professional	TC	$575.26	$575.26	$575.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $239.00 / $367.00	Professional		$87.81	$239.00	$367.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.95 / $268.39 / $587.24	Professional		$204.95	$268.39	$587.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.55 / $82.69 / $168.86	Professional	26	$62.55	$82.69	$168.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.99 / $209.80 / $450.66	Professional	TC	$142.99	$209.80	$450.66
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $143.07 / $296.77 / $314.00	Facility	26	$143.07	$296.77	$314.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,442.20 / $1,442.20 / $1,800.98	Professional		$1,442.20	$1,442.20	$1,800.98
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $482.10 / $482.10 / $507.29	Professional	26	$482.10	$482.10	$507.29
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,055.58 / $1,055.58 / $1,318.88	Professional	TC	$1,055.58	$1,055.58	$1,318.88