Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.45 / $39.60 / $60.29	Facility	26	$32.45	$39.60	$60.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $137.34 / $321.92	Professional		$126.16	$137.34	$321.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.23 / $34.56 / $106.83	Professional	26	$31.23	$34.56	$106.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.08 / $104.34 / $214.88	Professional	TC	$97.08	$104.34	$214.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.61 / $26.61 / $66.09	Professional	26	$26.61	$26.61	$66.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $86.30 / $86.30	Professional		$86.30	$86.30	$86.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.82 / $78.12 / $105.98	Professional	26	$53.82	$78.12	$105.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.33 / $209.15 / $317.02	Professional	TC	$132.33	$209.15	$317.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.92 / $40.92 / $40.92	Facility	26	$40.92	$40.92	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $209.30 / $377.09	Professional		$124.64	$209.30	$377.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.90 / $54.16 / $96.59	Professional	26	$34.90	$54.16	$96.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.39 / $155.35 / $276.63	Professional	TC	$89.39	$155.35	$276.63
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $49.06 / $54.53 / $100.14	Facility	26	$49.06	$54.53	$100.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $188.00 / $536.76	Professional		$48.00	$188.00	$536.76
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $54.53 / $54.53 / $132.88	Professional	26	$54.53	$54.53	$132.88
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $136.33 / $136.33 / $136.33	Professional	TC	$136.33	$136.33	$136.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.50 / $197.30 / $352.50	Professional		$143.50	$197.30	$352.50
United Facility/Professional Professional Modifier Low / Median / High Price $122.54 / $179.40 / $378.10	Professional		$122.54	$179.40	$378.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.28 / $45.83 / $94.09	Professional	26	$33.28	$45.83	$94.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.01 / $133.57 / $273.95	Professional	TC	$93.01	$133.57	$273.95
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $84.74 / $175.47 / $175.47	Facility	26	$84.74	$175.47	$175.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $968.58 / $1,227.45 / $1,227.45	Professional		$968.58	$1,227.45	$1,227.45
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $227.63 / $288.83 / $288.83	Professional	26	$227.63	$288.83	$288.83
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $740.95 / $938.70 / $938.70	Professional	TC	$740.95	$938.70	$938.70