Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.20 / $28.57 / $43.49	Facility	26	$24.20	$28.57	$43.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $116.08 / $228.26	Professional		$97.57	$116.08	$228.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.18 / $24.20 / $46.93	Professional	26	$23.18	$24.20	$46.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $91.88 / $178.18	Professional	TC	$73.93	$91.88	$178.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.84 / $19.84 / $20.32	Professional	26	$19.84	$19.84	$20.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.81 / $194.81 / $194.81	Professional		$194.81	$194.81	$194.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.75 / $59.02 / $73.47	Professional	26	$42.75	$59.02	$73.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.23 / $163.72 / $217.39	Professional	TC	$121.23	$163.72	$217.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.37 / $30.37 / $30.37	Facility	26	$30.37	$30.37	$30.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $171.46 / $306.77	Professional		$105.19	$171.46	$306.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.11 / $42.79 / $73.27	Professional	26	$25.11	$42.79	$73.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.59 / $126.93 / $235.51	Professional	TC	$78.59	$126.93	$235.51
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $39.45 / $45.00 / $74.80	Facility	26	$39.45	$45.00	$74.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $90.00 / $142.44	Professional		$35.00	$90.00	$142.44
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $39.45 / $39.45 / $45.00	Professional	26	$39.45	$39.45	$45.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $375.69 / $375.69 / $375.69	Professional	TC	$375.69	$375.69	$375.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $129.04 / $221.30	Professional		$28.18	$129.04	$221.30
United Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $140.57 / $273.62	Professional		$103.49	$140.57	$273.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.33 / $35.44 / $71.04	Professional	26	$26.33	$35.44	$71.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.86 / $105.04 / $209.24	Professional	TC	$76.86	$105.04	$209.24
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $131.81 / $131.81	Facility	26	$85.90	$131.81	$131.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $859.12 / $859.12 / $1,089.08	Professional		$859.12	$859.12	$1,089.08
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $211.35 / $211.35 / $216.60	Professional	26	$211.35	$211.35	$216.60
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $689.44 / $689.44 / $872.40	Professional	TC	$689.44	$689.44	$872.40