Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.89 / $46.39 / $67.09	Facility	26	$35.89	$46.39	$67.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $244.15 / $450.52	Professional		$229.62	$244.15	$450.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.89 / $38.96 / $114.73	Professional	26	$35.89	$38.96	$114.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $208.26 / $388.90	Professional	TC	$192.87	$208.26	$388.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.95 / $73.55 / $84.06	Professional	26	$29.95	$73.55	$84.06
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $319.68 / $319.68 / $319.68	Professional	TC	$319.68	$319.68	$319.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.51 / $93.81 / $112.02	Professional	26	$63.51	$93.81	$112.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $261.68 / $354.65 / $519.86	Professional	TC	$261.68	$354.65	$519.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.62 / $45.62 / $45.62	Facility	26	$45.62	$45.62	$45.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.62 / $450.00 / $681.55	Professional		$218.62	$450.00	$681.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.16 / $75.48 / $116.63	Professional	26	$44.16	$75.48	$116.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.82 / $369.49 / $590.78	Professional	TC	$172.82	$369.49	$590.78
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $61.80 / $84.00 / $126.64	Facility	26	$61.80	$84.00	$126.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $272.00 / $325.00	Professional		$53.00	$272.00	$325.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $61.80 / $61.80 / $61.80	Professional	26	$61.80	$61.80	$61.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.60 / $482.80 / $771.80	Professional		$259.60	$482.80	$771.80
United Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $352.54 / $787.10	Professional		$224.96	$352.54	$787.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.25 / $54.68 / $116.80	Professional	26	$41.25	$54.68	$116.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.47 / $298.64 / $656.53	Professional	TC	$185.47	$298.64	$656.53
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $94.73 / $110.44 / $225.00	Facility	26	$94.73	$110.44	$225.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,813.42 / $1,813.42 / $2,228.78	Professional		$1,813.42	$1,813.42	$2,228.78
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $328.57 / $328.57 / $328.57	Professional	26	$328.57	$328.57	$328.57
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,562.23 / $1,562.23 / $1,908.45	Professional	TC	$1,562.23	$1,562.23	$1,908.45