Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.28 / $34.08 / $34.08	Facility	26	$29.28	$34.08	$34.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $92.70 / $826.26	Professional		$82.44	$92.70	$826.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.28 / $46.03 / $297.00	Professional	26	$29.28	$46.03	$297.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.24 / $58.29 / $105.22	Professional	TC	$53.24	$58.29	$105.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.69 / $53.02 / $113.69	Professional		$50.69	$53.02	$113.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $103.34 / $103.34	Professional	26	$44.03	$103.34	$103.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.67 / $83.39 / $105.92	Professional	26	$35.67	$83.39	$105.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.77 / $121.63 / $158.65	Professional	TC	$59.77	$121.63	$158.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $92.52 / $263.83	Professional		$57.83	$92.52	$263.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.40 / $33.51 / $95.02	Professional	26	$21.40	$33.51	$95.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.43 / $53.19 / $159.22	Professional	TC	$36.43	$53.19	$159.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $70.67 / $86.00 / $151.00	Facility	26	$70.67	$86.00	$151.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $145.08 / $145.08	Professional		$145.08	$145.08	$145.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $68.93 / $274.17	Professional		$25.80	$68.93	$274.17
United Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $117.82 / $233.60	Professional		$73.45	$117.82	$233.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.38 / $45.63 / $88.61	Professional	26	$27.38	$45.63	$88.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.08 / $70.62 / $145.88	Professional	TC	$46.08	$70.62	$145.88
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $237.42 / $237.42 / $237.42	Facility	26	$237.42	$237.42	$237.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $907.71 / $907.71 / $960.68	Professional		$907.71	$907.71	$960.68
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $341.88 / $342.38 / $342.38	Professional	26	$341.88	$342.38	$342.38
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $565.88 / $565.88 / $629.17	Professional	TC	$565.88	$565.88	$629.17