Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.39 / $75.51 / $110.66	Facility	26	$60.39	$75.51	$110.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.10 / $275.00 / $690.87	Professional		$215.10	$275.00	$690.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $60.84 / $171.54	Professional	26	$55.00	$60.84	$171.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.72 / $192.00 / $474.93	Professional	TC	$154.72	$192.00	$474.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.85 / $55.85 / $111.70	Professional	26	$55.85	$55.85	$111.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.23 / $180.23 / $180.23	Professional		$180.23	$180.23	$180.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.74 / $153.57 / $209.07	Professional	26	$111.74	$153.57	$209.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $379.25 / $643.44 / $839.94	Professional	TC	$379.25	$643.44	$839.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $483.08 / $877.08	Professional		$295.08	$483.08	$877.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.73 / $106.92 / $184.33	Professional	26	$65.73	$106.92	$184.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.70 / $384.58 / $709.61	Professional	TC	$213.70	$384.58	$709.61
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $104.39 / $119.00 / $190.91	Facility	26	$104.39	$119.00	$190.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $284.00 / $376.00	Professional		$92.00	$284.00	$376.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $104.39 / $104.39 / $119.00	Professional	26	$104.39	$104.39	$119.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $569.37 / $569.37 / $569.37	Professional	TC	$569.37	$569.37	$569.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $195.35 / $355.14	Professional		$60.60	$195.35	$355.14
United Facility/Professional Professional Modifier Low / Median / High Price $251.54 / $411.98 / $716.38	Professional		$251.54	$411.98	$716.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.91 / $100.66 / $188.44	Professional	26	$62.91	$100.66	$188.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.05 / $324.94 / $587.28	Professional	TC	$182.05	$324.94	$587.28
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $434.48 / $546.72 / $546.72	Facility	26	$434.48	$546.72	$546.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,999.32 / $2,220.23 / $2,220.23	Professional		$1,999.32	$2,220.23	$2,220.23
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $479.55 / $590.91 / $590.91	Professional	26	$479.55	$590.91	$590.91
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,624.23 / $1,825.48 / $1,825.48	Professional	TC	$1,624.23	$1,825.48	$1,825.48