Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $37.15 / $97.72	Facility	26	$27.54	$37.15	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $478.63	Professional		$69.18	$125.89	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $47.86 / $95.50	Professional	26	$26.30	$47.86	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $87.10 / $218.78	Professional	TC	$44.67	$87.10	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $41.69	Professional	26	$20.89	$28.18	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $66.07 / $77.62	Professional	26	$41.69	$66.07	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $93.33 / $147.91	Professional	TC	$66.07	$93.33	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $44.67	Facility	26	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $275.42	Professional		$93.33	$147.91	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $41.69 / $77.62	Professional	26	$23.99	$41.69	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $107.15 / $194.98	Professional	TC	$63.10	$107.15	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Professional	26	$48.98	$48.98	$48.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $100.00 / $218.78	Professional		$28.18	$100.00	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $234.42	Professional		$89.13	$117.49	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $35.48 / $67.61	Professional	26	$26.30	$35.48	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $85.11 / $162.18	Professional	TC	$63.10	$85.11	$162.18
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	26	$251.19	$251.19	$251.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $851.14	Professional		$660.69	$660.69	$851.14
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $173.78 / $223.87	Professional	26	$173.78	$173.78	$223.87
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $489.78 / $630.96	Professional	TC	$489.78	$489.78	$630.96