Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.21 / $18.53 / $18.53	Facility	26	$16.21	$18.53	$18.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.24 / $159.68 / $357.59	Professional		$131.24	$159.68	$357.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.44 / $21.55 / $47.49	Professional	26	$16.44	$21.55	$47.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.41 / $140.93 / $322.94	Professional	TC	$119.41	$140.93	$322.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.92 / $44.92 / $44.92	Professional	26	$44.92	$44.92	$44.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $74.63 / $108.17	Professional	26	$19.39	$74.63	$108.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.53 / $196.43 / $283.95	Professional	TC	$138.53	$196.43	$283.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $115.70 / $321.05	Professional		$86.96	$115.70	$321.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.72 / $27.02 / $78.04	Professional	26	$11.72	$27.02	$78.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.17 / $88.08 / $261.32	Professional	TC	$63.17	$88.08	$261.32
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $47.25 / $67.98 / $80.13	Facility	26	$47.25	$67.98	$80.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.47 / $96.47 / $96.47	Professional		$96.47	$96.47	$96.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $108.93 / $278.73	Professional		$14.06	$108.93	$278.73
United Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $152.13 / $317.89	Professional		$91.31	$152.13	$317.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.27 / $29.83 / $78.47	Professional	26	$15.27	$29.83	$78.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.56 / $100.31 / $235.49	Professional	TC	$72.56	$100.31	$235.49
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $240.51 / $240.51 / $240.51	Facility	26	$240.51	$240.51	$240.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,336.58 / $1,336.58 / $1,642.13	Professional		$1,336.58	$1,336.58	$1,642.13
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $262.83 / $315.72 / $315.72	Professional	26	$262.83	$315.72	$315.72
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,188.97 / $1,188.97 / $1,461.53	Professional	TC	$1,188.97	$1,188.97	$1,461.53