Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $21.88 / $69.18	Facility	26	$18.20	$21.88	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $234.42	Professional		$70.79	$109.65	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $27.54 / $75.86	Professional	26	$16.98	$27.54	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $74.13 / $169.82	Professional	TC	$52.48	$74.13	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $20.89 / $33.11	Professional	26	$15.14	$20.89	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $48.98 / $60.26	Professional	26	$28.84	$48.98	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $109.65 / $181.97	Professional	TC	$89.13	$109.65	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.90 / $22.91 / $32.36	Facility	26	$4.90	$22.91	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $234.42	Professional		$79.43	$128.82	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $30.20 / $53.70	Professional	26	$16.98	$30.20	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $97.72 / $177.83	Professional	TC	$60.26	$97.72	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $81.28 / $173.78	Professional		$20.42	$81.28	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $194.98	Professional		$75.86	$107.15	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.30 / $44.67	Professional	26	$19.05	$26.30	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $81.28 / $147.91	Professional	TC	$57.54	$81.28	$147.91
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Professional		$630.96	$630.96	$831.76
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $128.82 / $162.18	Professional	26	$128.82	$128.82	$162.18
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $512.86 / $660.69	Professional	TC	$512.86	$512.86	$660.69