Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.40 / $50.98 / $50.98	Facility	26	$41.40	$50.98	$50.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.19 / $308.39 / $710.82	Professional		$216.19	$308.39	$710.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.00 / $59.58 / $217.47	Professional	26	$50.00	$59.58	$217.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $156.60 / $258.39 / $613.94	Professional	TC	$156.60	$258.39	$613.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $372.25 / $372.25 / $372.25	Professional		$372.25	$372.25	$372.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.64 / $65.81 / $113.09	Professional	26	$29.64	$65.81	$113.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.35 / $109.45 / $124.90	Professional	26	$53.35	$109.45	$124.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.07 / $249.21 / $403.08	Professional	TC	$119.07	$249.21	$403.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $196.13 / $542.69	Professional		$104.89	$196.13	$542.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.76 / $35.32 / $114.02	Professional	26	$30.76	$35.32	$114.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.95 / $161.50 / $453.49	Professional	TC	$70.95	$161.50	$453.49
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $96.02 / $96.45 / $96.45	Facility	26	$96.02	$96.45	$96.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $71.70 / $71.70	Professional		$71.70	$71.70	$71.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $209.23 / $980.37	Professional		$38.79	$209.23	$980.37
United Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $258.91 / $576.49	Professional		$128.41	$258.91	$576.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.95 / $61.52 / $109.33	Professional	26	$36.95	$61.52	$109.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.34 / $212.91 / $482.00	Professional	TC	$88.34	$212.91	$482.00
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $309.61 / $309.61 / $309.61	Facility	26	$309.61	$309.61	$309.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,575.76 / $2,575.76 / $3,260.25	Professional		$2,575.76	$2,575.76	$3,260.25
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $393.91 / $393.91 / $495.83	Professional	26	$393.91	$393.91	$495.83
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,181.85 / $2,181.85 / $2,764.35	Professional	TC	$2,181.85	$2,181.85	$2,764.35