Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.46 / $37.97 / $60.61	Facility	26	$32.46	$37.97	$60.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $148.81 / $446.00	Professional		$82.15	$148.81	$446.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $59.93 / $130.18	Professional	26	$32.13	$59.93	$130.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.68 / $64.31 / $146.50	Professional	TC	$49.68	$64.31	$146.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $125.94 / $163.99	Professional		$68.59	$125.94	$163.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.46 / $47.85 / $74.90	Professional	26	$26.46	$47.85	$74.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $95.67 / $95.67 / $95.67	Professional	TC	$95.67	$95.67	$95.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.60 / $80.45 / $106.33	Professional	26	$50.60	$80.45	$106.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.81 / $116.72 / $167.16	Professional	TC	$77.81	$116.72	$167.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $139.00 / $251.02	Professional		$93.09	$139.00	$251.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.83 / $54.12 / $97.93	Professional	26	$33.83	$54.12	$97.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.45 / $82.80 / $147.27	Professional	TC	$57.45	$82.80	$147.27
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $53.16 / $63.00 / $99.85	Facility	26	$53.16	$63.00	$99.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $118.00 / $335.91	Professional		$48.00	$118.00	$335.91
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $53.16 / $53.16 / $63.00	Professional	26	$53.16	$53.16	$63.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $203.14 / $203.14 / $203.14	Professional	TC	$203.14	$203.14	$203.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $82.43 / $149.71	Professional		$37.35	$82.43	$149.71
United Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $124.25 / $236.84	Professional		$86.57	$124.25	$236.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.29 / $50.53 / $98.05	Professional	26	$34.29	$50.53	$98.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.73 / $77.08 / $151.22	Professional	TC	$54.73	$77.08	$151.22
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $84.15 / $174.61 / $174.61	Facility	26	$84.15	$174.61	$174.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $600.27 / $600.27 / $764.25	Professional		$600.27	$600.27	$764.25
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $240.89 / $240.89 / $285.00	Professional	26	$240.89	$240.89	$285.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $372.64 / $372.64 / $479.25	Professional	TC	$372.64	$372.64	$479.25