Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $117.49 / $323.59	Facility	26	$104.71	$117.49	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $1,479.11	Professional		$302.00	$489.78	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $141.25 / $407.38	Professional	26	$87.10	$141.25	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $354.81 / $724.44	Professional	TC	$218.78	$354.81	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $954.99	Professional		$302.00	$338.84	$954.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $107.15 / $194.98	Professional	26	$77.62	$107.15	$194.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $257.04 / $346.74	Professional	TC	$194.98	$257.04	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $257.04 / $316.23	Professional	26	$158.49	$257.04	$316.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $575.44 / $794.33 / $1,202.26	Professional	TC	$575.44	$794.33	$1,202.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $117.49 / $169.82	Facility	26	$25.70	$117.49	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $1,258.93	Professional		$407.38	$741.31	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $158.49 / $288.40	Professional	26	$91.20	$158.49	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $549.54 / $977.24	Professional	TC	$295.12	$549.54	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $346.74 / $758.58	Professional		$104.71	$346.74	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,023.29	Professional		$380.19	$602.56	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $138.04 / $251.19	Professional	26	$102.33	$138.04	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $467.74 / $776.25	Professional	TC	$269.15	$467.74	$776.25
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,235.94	Professional		$2,570.40	$2,570.40	$3,235.94
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $660.69 / $660.69 / $831.76	Professional	26	$660.69	$660.69	$831.76
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,089.30 / $2,089.30 / $2,398.83	Professional	TC	$2,089.30	$2,089.30	$2,398.83