Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.13 / $56.67 / $84.13	Facility	26	$56.13	$56.67	$84.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $429.76 / $936.88	Professional		$338.67	$429.76	$936.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $60.05 / $227.96	Professional	26	$51.32	$60.05	$227.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.79 / $373.62 / $686.43	Professional	TC	$281.79	$373.62	$686.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $404.96 / $475.00 / $651.34	Professional		$404.96	$475.00	$651.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $80.45 / $100.56	Professional	26	$51.97	$80.45	$100.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $94.23 / $178.75	Professional	26	$51.97	$94.23	$178.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $336.85 / $426.14 / $1,097.42	Professional	TC	$336.85	$426.14	$1,097.42
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 $198.57 / $502.83 / $1,087.57	Professional		$198.57	$502.83	$1,087.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.82 / $83.80 / $149.58	Professional	26	$54.82	$83.80	$149.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.89 / $437.73 / $935.22	Professional	TC	$126.89	$437.73	$935.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $56.27 / $73.00 / $105.16	Facility	26	$56.27	$73.00	$105.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $446.00 / $547.00	Professional		$73.00	$446.00	$547.00
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 $59.29 / $450.55 / $792.72	Professional		$59.29	$450.55	$792.72
United Facility/Professional Professional Modifier Low / Median / High Price $230.39 / $429.00 / $961.07	Professional		$230.39	$429.00	$961.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.99 / $67.66 / $143.22	Professional	26	$50.99	$67.66	$143.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.22 / $368.59 / $817.84	Professional	TC	$179.22	$368.59	$817.84
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 $2,879.21 / $2,879.21 / $3,811.50	Professional		$2,879.21	$2,879.21	$3,811.50
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $356.25 / $356.25 / $447.83	Professional	26	$356.25	$356.25	$447.83
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,522.94 / $2,522.94 / $3,363.60	Professional	TC	$2,522.94	$2,522.94	$3,363.60