Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $286.74 / $293.16 / $480.67	Facility	26	$286.74	$293.16	$480.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.28 / $1,068.84 / $1,748.23	Professional		$1,029.28	$1,068.84	$1,748.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $261.62 / $318.36 / $825.02	Professional	26	$261.62	$318.36	$825.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $743.85 / $779.44 / $1,253.33	Professional	TC	$743.85	$779.44	$1,253.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $374.18 / $418.59 / $569.91	Professional	26	$374.18	$418.59	$569.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.59 / $676.12 / $870.15	Professional		$418.59	$676.12	$870.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $604.42 / $604.42 / $604.42	Professional	26	$604.42	$604.42	$604.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $611.54 / $611.54 / $611.54	Professional	TC	$611.54	$611.54	$611.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,191.68 / $1,608.50 / $2,709.98	Professional		$1,191.68	$1,608.50	$2,709.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $348.77 / $474.83 / $790.48	Professional	26	$348.77	$474.83	$790.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $833.59 / $1,126.16 / $1,922.69	Professional	TC	$833.59	$1,126.16	$1,922.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $362.68 / $362.68 / $752.30	Facility	26	$362.68	$362.68	$752.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,208.81 / $1,208.81 / $1,208.81	Professional		$1,208.81	$1,208.81	$1,208.81
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $362.68 / $362.68 / $362.68	Professional	26	$362.68	$362.68	$362.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,477.60 / $1,477.60 / $1,477.60	Professional		$1,477.60	$1,477.60	$1,477.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.78 / $1,433.71 / $2,766.08	Professional		$1,022.78	$1,433.71	$2,766.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $297.16 / $457.55 / $949.41	Professional	26	$297.16	$457.55	$949.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $729.19 / $1,011.59 / $1,987.13	Professional	TC	$729.19	$1,011.59	$1,987.13
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $2,118.00 / $2,118.00 / $2,579.04	Facility	26	$2,118.00	$2,118.00	$2,579.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,888.39 / $8,413.43 / $8,413.43	Professional		$6,888.39	$8,413.43	$8,413.43
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $1,791.90 / $2,413.42 / $2,413.42	Professional	26	$1,791.90	$2,413.42	$2,413.42
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $5,096.49 / $5,999.93 / $5,999.93	Professional	TC	$5,096.49	$5,999.93	$5,999.93