Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.96 / $44.98 / $61.44	Facility	26	$38.96	$44.98	$61.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $133.66 / $327.43	Professional		$56.89	$133.66	$327.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $38.97 / $63.25	Professional	26	$36.49	$38.97	$63.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.17 / $94.70 / $131.91	Professional	TC	$18.17	$94.70	$131.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.99 / $74.64 / $112.47	Professional	26	$29.99	$74.64	$112.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.96 / $90.48 / $110.51	Professional	26	$57.96	$90.48	$110.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $64.65 / $158.21	Professional	TC	$22.87	$64.65	$158.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.71 / $44.71 / $44.71	Facility	26	$44.71	$44.71	$44.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.27 / $145.12 / $311.17	Professional		$80.27	$145.12	$311.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.62 / $66.12 / $109.07	Professional	26	$41.62	$66.12	$109.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.19 / $90.13 / $204.15	Professional	TC	$16.19	$90.13	$204.15
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $60.75 / $70.00 / $102.86	Facility	26	$60.75	$70.00	$102.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $72.00 / $121.00	Professional		$49.00	$72.00	$121.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $60.75 / $60.75 / $60.75	Professional	26	$60.75	$60.75	$60.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $140.97 / $204.83	Professional		$55.56	$140.97	$204.83
United Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $134.16 / $293.18	Professional		$68.70	$134.16	$293.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.95 / $59.52 / $111.62	Professional	26	$39.95	$59.52	$111.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.69 / $71.65 / $194.75	Professional	TC	$16.69	$71.65	$194.75
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $92.97 / $115.35 / $200.31	Facility	26	$92.97	$115.35	$200.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $886.70 / $886.70 / $1,149.00	Professional		$886.70	$886.70	$1,149.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $414.43 / $414.43 / $414.43	Professional	26	$414.43	$414.43	$414.43
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $639.54 / $639.54 / $824.33	Professional	TC	$639.54	$639.54	$824.33