Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $181.97 / $281.84	Facility	26	$181.97	$181.97	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $851.14	Professional		$269.15	$346.74	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $204.17 / $549.54	Professional	26	$169.82	$204.17	$549.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $114.82 / $204.17	Professional	TC	$93.33	$114.82	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $512.86	Professional		$257.04	$288.40	$512.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $223.87 / $323.59	Professional	26	$165.96	$223.87	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $257.04 / $588.84	Professional	26	$169.82	$257.04	$588.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $128.82 / $346.74	Professional	TC	$91.20	$128.82	$346.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $208.93 / $295.12	Facility	26	$44.67	$208.93	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $891.25	Professional		$275.42	$478.63	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $295.12 / $562.34	Professional	26	$181.97	$295.12	$562.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $173.78 / $323.59	Professional	TC	$102.33	$173.78	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $288.40 / $602.56	Professional		$114.82	$288.40	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $602.56	Professional		$281.84	$354.81	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $229.09 / $380.19	Professional	26	$173.78	$229.09	$380.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $134.90 / $218.78	Professional	TC	$102.33	$134.90	$218.78
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	26	$1,174.90	$1,174.90	$1,174.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $2,344.23	Professional		$1,862.09	$2,344.23	$2,344.23
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $1,174.90 / $1,479.11 / $1,479.11	Professional	26	$1,174.90	$1,479.11	$1,479.11
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $691.83 / $851.14 / $851.14	Professional	TC	$691.83	$851.14	$851.14