Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.57 / $43.57 / $73.06	Facility	26	$43.57	$43.57	$73.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.29 / $151.71 / $323.45	Professional		$133.29	$151.71	$323.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.29 / $45.11 / $122.13	Professional	26	$40.29	$45.11	$122.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.76 / $97.59 / $173.76	Professional	TC	$91.76	$97.59	$173.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $156.97 / $156.97	Professional		$156.97	$156.97	$156.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.51 / $70.51 / $70.91	Professional	26	$70.51	$70.51	$70.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $119.48 / $119.48	Professional		$119.48	$119.48	$119.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.88 / $95.08 / $149.31	Professional	26	$63.88	$95.08	$149.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.86 / $219.20 / $343.57	Professional	TC	$138.86	$219.20	$343.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.06 / $49.06 / $49.06	Facility	26	$49.06	$49.06	$49.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.25 / $235.38 / $376.31	Professional		$152.25	$235.38	$376.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.22 / $70.81 / $118.88	Professional	26	$48.22	$70.81	$118.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.93 / $163.96 / $260.02	Professional	TC	$104.93	$163.96	$260.02
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.05 / $96.70 / $150.00	Facility	26	$51.05	$96.70	$150.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $158.15 / $498.05	Professional		$57.00	$158.15	$498.05
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $51.05 / $115.00 / $160.34	Professional	26	$51.05	$115.00	$160.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $142.22 / $229.10	Professional		$61.93	$142.22	$229.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.19 / $206.10 / $407.02	Professional		$125.19	$206.10	$407.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.65 / $59.82 / $118.24	Professional	26	$44.65	$59.82	$118.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.14 / $144.49 / $246.82	Professional	TC	$83.14	$144.49	$246.82
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $109.00 / $214.35 / $214.35	Facility	26	$109.00	$214.35	$214.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,086.26 / $1,086.26 / $1,129.05	Professional		$1,086.26	$1,086.26	$1,129.05
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $449.09 / $449.09 / $449.09	Professional	26	$449.09	$449.09	$449.09
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $893.67 / $893.67 / $893.67	Professional	TC	$893.67	$893.67	$893.67