Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $34.17 / $62.44	Professional		$29.08	$34.17	$62.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $15.48 / $20.84	Professional	26	$13.52	$15.48	$20.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.65 / $17.07 / $33.75	Professional	TC	$14.65	$17.07	$33.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $57.26 / $57.26	Professional		$57.26	$57.26	$57.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $52.36 / $52.36	Professional		$52.36	$52.36	$52.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.71 / $17.64 / $37.97	Professional	26	$14.71	$17.64	$37.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.79 / $18.95 / $56.84	Professional	TC	$15.79	$18.95	$56.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.95 / $17.95 / $17.95	Facility	26	$17.95	$17.95	$17.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $54.23 / $85.19	Professional		$24.77	$54.23	$85.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $23.30 / $41.09	Professional	26	$11.73	$23.30	$41.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.91 / $29.29 / $48.07	Professional	TC	$13.91	$29.29	$48.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $35.54 / $84.00	Facility		$25.53	$35.54	$84.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $17.96 / $19.00 / $28.55	Facility	26	$17.96	$19.00	$28.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $22.00 / $42.00	Professional		$20.00	$22.00	$42.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $25.13 / $52.13	Professional		$22.78	$25.13	$52.13
United Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $29.83 / $60.93	Professional		$22.31	$29.83	$60.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $14.44 / $30.75	Professional	26	$9.32	$14.44	$30.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.82 / $15.92 / $30.18	Professional	TC	$11.82	$15.92	$30.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $108.08 / $174.90	Facility		$91.66	$108.08	$174.90
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $100.00 / $100.00	Facility	26	$36.40	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $277.88 / $366.08 / $366.08	Professional		$277.88	$366.08	$366.08
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $98.61 / $98.61 / $126.75	Professional	26	$98.61	$98.61	$126.75
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $180.44 / $180.44 / $180.44	Professional	TC	$180.44	$180.44	$180.44