Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.42 / $42.34 / $62.02	Facility	26	$33.42	$42.34	$62.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $272.00 / $506.41	Professional		$251.87	$272.00	$506.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $35.15 / $93.45	Professional	26	$33.17	$35.15	$93.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $238.57 / $449.49	Professional	TC	$218.71	$238.57	$449.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.60 / $63.83 / $77.63	Professional	26	$27.60	$63.83	$77.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.18 / $85.39 / $101.42	Professional	26	$57.18	$85.39	$101.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $268.64 / $418.70 / $598.29	Professional	TC	$268.64	$418.70	$598.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.12 / $42.12 / $42.12	Facility	26	$42.12	$42.12	$42.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.84 / $516.79 / $881.52	Professional		$226.84	$516.79	$881.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.14 / $69.20 / $106.35	Professional	26	$40.14	$69.20	$106.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $179.05 / $447.74 / $775.17	Professional	TC	$179.05	$447.74	$775.17
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $61.19 / $72.17 / $136.80	Facility	26	$61.19	$72.17	$136.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $386.00 / $435.00	Professional		$49.00	$386.00	$435.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $56.09 / $56.09 / $56.09	Professional	26	$56.09	$56.09	$56.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.40 / $556.90 / $862.90	Professional		$247.40	$556.90	$862.90
United Facility/Professional Professional Modifier Low / Median / High Price $236.29 / $414.16 / $887.79	Professional		$236.29	$414.16	$887.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.43 / $50.09 / $104.81	Professional	26	$37.43	$50.09	$104.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.09 / $343.83 / $777.20	Professional	TC	$190.09	$343.83	$777.20
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $87.37 / $110.44 / $180.26	Facility	26	$87.37	$110.44	$180.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,023.55 / $2,023.55 / $2,503.19	Professional		$2,023.55	$2,023.55	$2,503.19
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $267.48 / $267.48 / $296.55	Professional	26	$267.48	$267.48	$296.55
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,789.49 / $1,789.49 / $2,206.65	Professional	TC	$1,789.49	$1,789.49	$2,206.65