Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $72.44 / $165.96	Facility	26	$53.70	$72.44	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $851.14	Professional		$154.88	$269.15	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $95.50 / $213.80	Professional	26	$51.29	$95.50	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $173.78 / $436.52	Professional	TC	$100.00	$173.78	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $380.19	Professional		$123.03	$123.03	$380.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $54.95 / $107.15	Professional	26	$41.69	$54.95	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $151.36 / $173.78	Professional	26	$100.00	$151.36	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $436.52 / $691.83	Professional	TC	$257.04	$436.52	$691.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $60.26 / $87.10	Facility	26	$13.18	$60.26	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $630.96	Professional		$177.83	$331.13	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $91.20 / $154.88	Professional	26	$47.86	$91.20	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $234.42 / $478.63	Professional	TC	$112.20	$234.42	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Professional	26	$114.82	$114.82	$114.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $141.25 / $309.03	Professional		$54.95	$141.25	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $467.74	Professional		$158.49	$281.84	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $134.90	Professional	26	$54.95	$72.44	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $199.53 / $323.59	Professional	TC	$104.71	$199.53	$323.59
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,698.24 / $1,698.24	Professional		$1,621.81	$1,698.24	$1,698.24
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $389.05 / $389.05 / $426.58	Professional	26	$389.05	$389.05	$426.58
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional	TC	$2,041.74	$2,041.74	$2,041.74