Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.81 / $56.67 / $84.13	Facility	26	$55.81	$56.67	$84.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $375.49 / $793.00	Professional		$302.81	$375.49	$793.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $58.00 / $170.00	Professional	26	$51.54	$58.00	$170.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.26 / $310.72 / $576.02	Professional	TC	$239.26	$310.72	$576.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.96 / $440.06 / $559.94	Professional		$345.96	$440.06	$559.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.91 / $80.45 / $99.98	Professional	26	$66.91	$80.45	$99.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $273.44 / $273.44 / $273.44	Professional	TC	$273.44	$273.44	$273.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $103.47 / $178.75	Professional	26	$51.97	$103.47	$178.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $297.99 / $357.59 / $919.56	Professional	TC	$297.99	$357.59	$919.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.11 / $447.83 / $917.15	Professional		$214.11	$447.83	$917.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.82 / $83.32 / $148.71	Professional	26	$54.82	$83.32	$148.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.11 / $377.61 / $765.68	Professional	TC	$145.11	$377.61	$765.68
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $56.27 / $73.00 / $101.20	Facility	26	$56.27	$73.00	$101.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $379.00 / $459.00	Professional		$73.00	$379.00	$459.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $56.27 / $56.27 / $56.27	Professional	26	$56.27	$56.27	$56.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $386.88 / $682.70	Professional		$58.95	$386.88	$682.70
United Facility/Professional Professional Modifier Low / Median / High Price $218.14 / $364.82 / $842.54	Professional		$218.14	$364.82	$842.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.21 / $68.98 / $143.88	Professional	26	$51.21	$68.98	$143.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.48 / $312.08 / $698.65	Professional	TC	$173.48	$312.08	$698.65
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $101.69 / $276.20 / $276.20	Facility	26	$101.69	$276.20	$276.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,452.27 / $2,452.27 / $3,270.00	Professional		$2,452.27	$2,452.27	$3,270.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $354.09 / $354.09 / $447.83	Professional	26	$354.09	$354.09	$447.83
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,098.17 / $2,098.17 / $2,822.18	Professional	TC	$2,098.17	$2,098.17	$2,822.18