Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $57.54 / $147.91	Facility	26	$47.86	$57.54	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $912.01	Professional		$338.84	$457.09	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $81.28 / $223.87	Professional	26	$50.12	$81.28	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $371.54 / $741.31	Professional	TC	$288.40	$371.54	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $72.44 / $102.33	Professional	26	$47.86	$72.44	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $602.56	Professional		$588.84	$588.84	$602.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $77.62 / $194.98	Professional	26	$52.48	$77.62	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $416.87 / $1,122.02	Professional	TC	$338.84	$416.87	$1,122.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $64.57 / $91.20	Facility	26	$13.80	$64.57	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $1,230.27	Professional		$407.38	$741.31	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $109.65 / $181.97	Professional	26	$57.54	$109.65	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $645.65 / $1,071.52	Professional	TC	$346.74	$645.65	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	26	$144.54	$144.54	$144.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $891.25	Professional		$371.54	$537.03	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $138.04	Professional	26	$54.95	$83.18	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $446.68 / $758.58	Professional	TC	$302.00	$446.68	$758.58
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	26	$416.87	$416.87	$416.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,890.45 / $3,890.45	Professional		$3,715.35	$3,890.45	$3,890.45
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	26	$616.60	$616.60	$616.60
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional	TC	$3,715.35	$3,715.35	$3,715.35