Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.01 / $27.84 / $42.38	Facility	26	$23.01	$27.84	$42.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $113.74 / $303.70	Professional		$84.57	$113.74	$303.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.76 / $26.11 / $74.23	Professional	26	$22.76	$26.11	$74.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $90.72 / $182.37	Professional	TC	$59.92	$90.72	$182.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $34.92 / $52.83	Professional	26	$18.62	$34.92	$52.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $66.28 / $66.28	Professional		$66.28	$66.28	$66.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.77 / $57.14 / $74.87	Professional	26	$40.77	$57.14	$74.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.16 / $123.36 / $179.96	Professional	TC	$80.16	$123.36	$179.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.92 / $28.92 / $28.92	Facility	26	$28.92	$28.92	$28.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $165.50 / $310.45	Professional		$87.15	$165.50	$310.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.38 / $41.20 / $72.17	Professional	26	$24.38	$41.20	$72.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.85 / $124.01 / $247.59	Professional	TC	$56.85	$124.01	$247.59
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $38.43 / $44.00 / $76.84	Facility	26	$38.43	$44.00	$76.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $126.00 / $160.00	Professional		$34.00	$126.00	$160.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $38.43 / $44.00 / $94.13	Professional	26	$38.43	$44.00	$94.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $135.85 / $211.15	Professional		$37.63	$135.85	$211.15
United Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $147.97 / $280.13	Professional		$84.87	$147.97	$280.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.72 / $35.32 / $69.48	Professional	26	$25.72	$35.32	$69.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.25 / $116.69 / $221.09	Professional	TC	$59.25	$116.69	$221.09
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $76.08 / $122.88 / $122.88	Facility	26	$76.08	$122.88	$122.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $841.81 / $841.81 / $1,024.28	Professional		$841.81	$841.81	$1,024.28
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $202.73 / $205.77 / $205.77	Professional	26	$202.73	$205.77	$205.77
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $680.78 / $680.78 / $821.48	Professional	TC	$680.78	$680.78	$821.48