Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.79 / $36.26 / $57.53	Facility	26	$32.79	$36.26	$57.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $110.59 / $538.44	Professional		$101.04	$110.59	$538.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $35.72 / $110.35	Professional	26	$29.91	$35.72	$110.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.04 / $76.27 / $155.88	Professional	TC	$70.04	$76.27	$155.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.72 / $118.72 / $118.72	Professional		$118.72	$118.72	$118.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.38 / $43.93 / $80.37	Professional	26	$28.38	$43.93	$80.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $86.70	Professional		$86.70	$86.70	$86.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.62 / $75.13 / $97.48	Professional	26	$53.62	$75.13	$97.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.55 / $138.74 / $206.48	Professional	TC	$89.55	$138.74	$206.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.57 / $43.57 / $43.57	Facility	26	$43.57	$43.57	$43.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $164.86 / $297.88	Professional		$96.87	$164.86	$297.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $57.20 / $95.05	Professional	26	$33.49	$57.20	$95.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.09 / $113.41 / $204.03	Professional	TC	$61.09	$113.41	$204.03
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $49.85 / $57.00 / $107.24	Facility	26	$49.85	$57.00	$107.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $97.00 / $145.82	Professional		$44.00	$97.00	$145.82
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $49.85 / $57.00 / $140.32	Professional	26	$49.85	$57.00	$140.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $114.66 / $196.05	Professional		$47.88	$114.66	$196.05
United Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $152.16 / $290.64	Professional		$97.58	$152.16	$290.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.81 / $48.38 / $90.48	Professional	26	$33.81	$48.38	$90.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.67 / $101.55 / $200.16	Professional	TC	$64.67	$101.55	$200.16
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $98.17 / $187.34 / $187.34	Facility	26	$98.17	$187.34	$187.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $812.81 / $812.81 / $1,010.33	Professional		$812.81	$812.81	$1,010.33
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $240.49 / $240.49 / $307.64	Professional	26	$240.49	$240.49	$307.64
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $572.32 / $572.32 / $702.68	Professional	TC	$572.32	$572.32	$702.68