Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.05 / $31.94 / $53.96	Facility	26	$30.05	$31.94	$53.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $75.43 / $208.15	Professional		$71.93	$75.43	$208.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.89 / $31.21 / $90.40	Professional	26	$28.89	$31.21	$90.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.36 / $44.77 / $85.37	Professional	TC	$41.36	$44.77	$85.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.87 / $47.88 / $69.73	Professional	26	$24.87	$47.88	$69.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.52 / $80.70 / $98.76	Professional	26	$53.52	$80.70	$98.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.36 / $90.40 / $127.67	Professional	TC	$69.36	$90.40	$127.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $124.69 / $217.35	Professional		$81.58	$124.69	$217.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.04 / $54.49 / $94.93	Professional	26	$36.04	$54.49	$94.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.54 / $74.04 / $122.58	Professional	TC	$45.54	$74.04	$122.58
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.68 / $52.22 / $81.65	Facility	26	$51.68	$52.22	$81.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $105.00 / $305.92	Professional		$43.00	$105.00	$305.92
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $52.22 / $52.22 / $122.88	Professional	26	$52.22	$52.22	$122.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $228.00	Professional		$228.00	$228.00	$228.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $116.72 / $207.10	Professional		$78.81	$116.72	$207.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.95 / $45.03 / $84.64	Professional	26	$33.95	$45.03	$84.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.28 / $62.19 / $116.35	Professional	TC	$44.28	$62.19	$116.35
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $78.25 / $162.16 / $162.16	Facility	26	$78.25	$162.16	$162.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $546.16 / $678.98 / $678.98	Professional		$546.16	$678.98	$678.98
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $210.44 / $267.68 / $267.68	Professional	26	$210.44	$267.68	$267.68
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $335.78 / $411.38 / $411.38	Professional	TC	$335.78	$411.38	$411.38