Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.29 / $80.29 / $118.67	Facility	26	$80.29	$80.29	$118.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $160.86 / $478.72	Professional		$130.08	$160.86	$478.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.70 / $80.29 / $124.21	Professional	26	$72.70	$80.29	$124.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $80.56 / $130.10	Professional	TC	$55.03	$80.56	$130.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $142.33 / $142.33 / $142.33	Professional	26	$142.33	$142.33	$142.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.59 / $145.62 / $236.96	Professional	26	$81.59	$145.62	$236.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.88 / $91.14 / $242.01	Professional	TC	$36.88	$91.14	$242.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.04 / $91.04 / $91.04	Facility	26	$91.04	$91.04	$91.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $184.53 / $418.46	Professional		$111.17	$184.53	$418.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.95 / $120.26 / $213.84	Professional	26	$79.95	$120.26	$213.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.84 / $96.68 / $221.90	Professional	TC	$35.84	$96.68	$221.90
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $82.08 / $105.00 / $149.72	Facility	26	$82.08	$105.00	$149.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $113.00 / $218.00	Professional		$105.00	$113.00	$218.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $82.08 / $82.08 / $82.08	Professional	26	$82.08	$82.08	$82.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $139.74 / $277.95	Professional		$75.20	$139.74	$277.95
United Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $181.25 / $407.08	Professional		$119.58	$181.25	$407.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.41 / $98.30 / $211.16	Professional	26	$74.41	$98.30	$211.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.65 / $90.59 / $201.05	Professional	TC	$39.65	$90.59	$201.05
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $183.99 / $394.16 / $394.16	Facility	26	$183.99	$394.16	$394.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,053.48 / $1,053.48 / $1,277.48	Professional		$1,053.48	$1,053.48	$1,277.48
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $509.36 / $509.36 / $639.83	Professional	26	$509.36	$509.36	$639.83
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $544.05 / $544.05 / $637.65	Professional	TC	$544.05	$544.05	$637.65