Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $48.98 / $91.20	Facility	26	$47.86	$48.98	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $154.88	Professional		$64.57	$81.28	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $67.61 / $346.74	Professional	26	$47.86	$67.61	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $26.92 / $52.48	Professional	TC	$21.88	$26.92	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Professional	26	$112.20	$112.20	$112.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $107.15 / $125.89	Professional	26	$50.12	$107.15	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $30.20 / $46.77	Professional	TC	$25.70	$30.20	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $83.18 / $154.88	Professional		$42.66	$83.18	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $44.67 / $112.20	Professional	26	$28.84	$44.67	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $22.39 / $53.70	Professional	TC	$11.75	$22.39	$53.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $154.88	Professional		$144.54	$144.54	$154.88
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $114.82	Professional	26	$112.20	$112.20	$114.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $56.23 / $91.20	Professional		$28.84	$56.23	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $154.88	Professional		$52.48	$83.18	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $57.54 / $107.15	Professional	26	$34.67	$57.54	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $23.99 / $48.98	Professional	TC	$14.13	$23.99	$48.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $741.31	Professional		$588.84	$588.84	$741.31
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $380.19 / $380.19 / $478.63	Professional	26	$380.19	$380.19	$478.63
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $204.17 / $269.15	Professional	TC	$204.17	$204.17	$269.15