Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.79 / $38.29 / $63.29	Facility	26	$32.79	$38.29	$63.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $126.13 / $347.87	Professional		$109.14	$126.13	$347.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $38.29 / $118.43	Professional	26	$29.91	$38.29	$118.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.23 / $87.83 / $188.16	Professional	TC	$79.23	$87.83	$188.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $101.57 / $101.57	Professional		$101.57	$101.57	$101.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $42.72 / $102.78	Professional	26	$31.70	$42.72	$102.78
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 $53.75 / $75.36 / $97.15	Professional	26	$53.75	$75.36	$97.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.91 / $169.60 / $244.47	Professional	TC	$102.91	$169.60	$244.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.64 / $48.64 / $48.64	Facility	26	$48.64	$48.64	$48.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $187.77 / $337.69	Professional		$106.01	$187.77	$337.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.81 / $60.48 / $102.18	Professional	26	$34.81	$60.48	$102.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.69 / $132.90 / $237.78	Professional	TC	$70.69	$132.90	$237.78
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $49.85 / $57.00 / $103.99	Facility	26	$49.85	$57.00	$103.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $114.00 / $166.35	Professional		$44.00	$114.00	$166.35
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $49.85 / $57.00 / $156.62	Professional	26	$49.85	$57.00	$156.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $126.75 / $221.30	Professional		$53.00	$126.75	$221.30
United Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $166.39 / $326.50	Professional		$111.42	$166.39	$326.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.01 / $53.90 / $94.37	Professional	26	$34.01	$53.90	$94.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.37 / $117.92 / $235.30	Professional	TC	$74.37	$117.92	$235.30
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.12 / $207.05 / $207.05	Facility	26	$100.12	$207.05	$207.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $927.52 / $927.52 / $1,140.83	Professional		$927.52	$927.52	$1,140.83
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $268.38 / $268.38 / $339.15	Professional	26	$268.38	$268.38	$339.15
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $659.08 / $659.08 / $801.68	Professional	TC	$659.08	$659.08	$801.68