Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.88 / $64.57	Facility	26	$33.11	$33.88	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $501.19	Professional		$213.80	$245.47	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $38.90 / $79.43	Professional	26	$32.36	$38.90	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $213.80 / $398.11	Professional	TC	$165.96	$213.80	$398.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $77.62	Professional	26	$40.74	$40.74	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $69.18 / $87.10	Professional	26	$34.67	$69.18	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $204.17 / $338.84	Professional	TC	$128.82	$204.17	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $416.87	Professional		$102.33	$199.53	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.84 / $79.43	Professional	26	$20.42	$28.84	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $158.49 / $346.74	Professional	TC	$77.62	$158.49	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $223.87 / $275.42	Professional		$38.90	$223.87	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $524.81	Professional		$123.03	$208.93	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $40.74 / $77.62	Professional	26	$24.55	$40.74	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $181.97 / $457.09	Professional	TC	$93.33	$181.97	$457.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,290.87	Professional		$2,089.30	$2,089.30	$2,290.87
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $269.15 / $269.15 / $323.59	Professional	26	$269.15	$269.15	$323.59
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,819.70 / $1,819.70 / $1,949.84	Professional	TC	$1,819.70	$1,819.70	$1,949.84