Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $39.81 / $87.10	Facility	26	$31.62	$39.81	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $575.44	Professional		$245.47	$302.00	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $46.77 / $120.23	Professional	26	$30.20	$46.77	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $269.15 / $549.54	Professional	TC	$213.80	$269.15	$549.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $43.65 / $64.57	Professional	26	$25.70	$43.65	$64.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $83.18 / $97.72	Professional	26	$48.98	$83.18	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $467.74 / $776.25	Professional	TC	$371.54	$467.74	$776.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $39.81 / $56.23	Facility	26	$8.51	$39.81	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $912.01	Professional		$363.08	$562.34	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $64.57 / $102.33	Professional	26	$40.74	$64.57	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $512.86 / $812.83	Professional	TC	$316.23	$512.86	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $912.01	Professional		$794.33	$851.14	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $831.76	Professional		$316.23	$436.52	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $47.86 / $95.50	Professional	26	$35.48	$47.86	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $389.05 / $758.58	Professional	TC	$281.84	$389.05	$758.58
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $2,454.71	Professional		$1,995.26	$2,454.71	$2,454.71
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $275.42 / $275.42	Professional	26	$218.78	$275.42	$275.42
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,778.28 / $2,187.76 / $2,187.76	Professional	TC	$1,778.28	$2,187.76	$2,187.76