Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.79 / $44.36 / $55.20	Facility	26	$32.79	$44.36	$55.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $138.84 / $335.94	Professional		$109.45	$138.84	$335.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $44.36 / $140.65	Professional	26	$29.91	$44.36	$140.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $94.48 / $193.09	Professional	TC	$79.54	$94.48	$193.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.47 / $46.70 / $91.16	Professional	26	$36.47	$46.70	$91.16
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 / $76.12 / $97.15	Professional	26	$53.62	$76.12	$97.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $108.61 / $188.50 / $304.36	Professional	TC	$108.61	$188.50	$304.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $55.98 / $55.98	Facility	26	$55.98	$55.98	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.08 / $213.71 / $381.59	Professional		$119.08	$213.71	$381.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.63 / $62.81 / $114.22	Professional	26	$35.63	$62.81	$114.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.00 / $153.26 / $274.17	Professional	TC	$78.00	$153.26	$274.17
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $49.85 / $57.00 / $104.00	Facility	26	$49.85	$57.00	$104.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $143.00 / $187.00	Professional		$44.00	$143.00	$187.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $49.85 / $49.85 / $57.00	Professional	26	$49.85	$49.85	$57.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $386.33 / $386.33 / $386.33	Professional	TC	$386.33	$386.33	$386.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $134.19 / $214.50	Professional		$62.46	$134.19	$214.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $206.72 / $398.24	Professional		$125.30	$206.72	$398.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.81 / $58.36 / $108.47	Professional	26	$33.81	$58.36	$108.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.68 / $137.26 / $260.52	Professional	TC	$86.68	$137.26	$260.52
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $115.49 / $238.64 / $238.64	Facility	26	$115.49	$238.64	$238.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,019.78 / $1,019.78 / $1,259.03	Professional		$1,019.78	$1,019.78	$1,259.03
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $310.80 / $310.80 / $389.40	Professional	26	$310.80	$310.80	$389.40
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $708.98 / $708.98 / $869.63	Professional	TC	$708.98	$708.98	$869.63