Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $114.82 / $234.42	Facility	26	$67.61	$114.82	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $1,174.90	Professional		$190.55	$295.12	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $446.68	Professional	26	$64.57	$104.71	$446.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $162.18 / $389.05	Professional	TC	$123.03	$162.18	$389.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $69.18 / $123.03	Professional	26	$67.61	$69.18	$123.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	TC	$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $177.83 / $239.88	Professional	26	$114.82	$177.83	$239.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $363.08 / $489.78	Professional	TC	$229.09	$363.08	$489.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $85.11 / $123.03	Facility	26	$18.62	$85.11	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $676.08	Professional		$251.19	$380.19	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $117.49 / $208.93	Professional	26	$67.61	$117.49	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $257.04 / $446.68	Professional	TC	$165.96	$257.04	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $199.53 / $398.11	Professional		$75.86	$199.53	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $549.54 / $1,318.26	Professional		$239.88	$549.54	$1,318.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $93.33 / $194.98	Professional	26	$72.44	$93.33	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $436.52 / $1,071.52	Professional	TC	$162.18	$436.52	$1,071.52
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	26	$691.83	$691.83	$691.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,862.09	Professional		$1,479.11	$1,479.11	$1,862.09
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $478.63 / $478.63 / $602.56	Professional	26	$478.63	$478.63	$602.56
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,000.00 / $1,000.00 / $1,258.93	Professional	TC	$1,000.00	$1,000.00	$1,258.93