Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.64 / $445.56 / $1,664.67	Facility		$94.64	$445.56	$1,664.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $373.01 / $683.91	Professional		$237.47	$373.01	$683.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $149.78 / $173.45 / $319.64	Professional	26	$149.78	$173.45	$319.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.03 / $188.06 / $402.76	Professional	TC	$154.03	$188.06	$402.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $159.29 / $159.29 / $229.96	Professional	26	$159.29	$159.29	$229.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $146.47 / $293.63 / $364.84	Professional	26	$146.47	$293.63	$364.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $156.05 / $314.42 / $757.45	Professional	TC	$156.05	$314.42	$757.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $326.16	Professional		$326.16	$326.16	$326.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $153.56	Professional	26	$153.56	$153.56	$153.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $172.60	Professional	TC	$172.60	$172.60	$172.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $341.26 / $589.52 / $906.87	Facility		$341.26	$589.52	$906.87
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $171.19 / $177.65 / $421.17	Facility	26	$171.19	$177.65	$421.17
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $345.50 / $411.87 / $411.87	Facility	TC	$345.50	$411.87	$411.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $328.95 / $328.95 / $328.95	Professional		$328.95	$328.95	$328.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $185.16 / $266.10 / $871.53	Professional		$185.16	$266.10	$871.53
United Facility/Professional Professional Modifier Low / Median / High Price $206.15 / $370.16 / $892.59	Professional		$206.15	$370.16	$892.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.37 / $163.12 / $299.92	Professional	26	$105.37	$163.12	$299.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.50 / $211.12 / $564.17	Professional	TC	$90.50	$211.12	$564.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,185.65 / $2,185.65 / $2,185.65	Facility		$2,185.65	$2,185.65	$2,185.65
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $858.66 / $858.66 / $858.66	Facility	26	$858.66	$858.66	$858.66
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $1,452.72 / $1,452.72 / $1,452.72	Facility	TC	$1,452.72	$1,452.72	$1,452.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,718.36 / $5,718.36 / $5,718.36	Professional		$5,718.36	$5,718.36	$5,718.36
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $1,098.38 / $1,098.38 / $1,377.38	Professional	26	$1,098.38	$1,098.38	$1,377.38
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,767.92 / $2,229.25 / $2,229.25	Professional	TC	$1,767.92	$2,229.25	$2,229.25