Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.21 / $28.44 / $68.09	Facility	26	$17.21	$28.44	$68.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $91.49 / $233.38	Professional		$86.03	$91.49	$233.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $41.56 / $78.36	Professional	26	$15.71	$41.56	$78.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.48 / $55.37 / $174.04	Professional	TC	$44.48	$55.37	$174.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.01 / $34.22 / $95.76	Professional	26	$31.01	$34.22	$95.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.05 / $46.05 / $46.05	Professional		$46.05	$46.05	$46.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.45 / $42.76 / $57.93	Professional	26	$28.45	$42.76	$57.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.28 / $331.39 / $864.75	Professional	TC	$154.28	$331.39	$864.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.72 / $52.72 / $52.72	Facility	26	$52.72	$52.72	$52.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $234.64 / $712.17	Professional		$106.72	$234.64	$712.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $36.65 / $103.66	Professional	26	$19.95	$36.65	$103.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.44 / $152.82 / $643.15	Professional	TC	$58.44	$152.82	$643.15
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $26.13 / $31.00 / $88.00	Facility	26	$26.13	$31.00	$88.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $86.00 / $132.00	Professional		$22.00	$86.00	$132.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $26.13 / $26.13 / $31.00	Professional	26	$26.13	$26.13	$31.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $181.87 / $181.87 / $181.87	Professional	TC	$181.87	$181.87	$181.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $220.70 / $677.10	Professional		$152.40	$220.70	$677.10
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $180.59 / $459.09	Professional		$98.74	$180.59	$459.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $42.33 / $95.01	Professional	26	$17.80	$42.33	$95.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.91 / $107.84 / $387.94	Professional	TC	$56.91	$107.84	$387.94
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $108.25 / $220.50 / $220.50	Facility	26	$108.25	$220.50	$220.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,986.89 / $2,986.89 / $2,986.89	Professional		$2,986.89	$2,986.89	$2,986.89
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $425.60 / $425.60 / $425.60	Professional	26	$425.60	$425.60	$425.60
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,892.33 / $2,892.33 / $2,892.33	Professional	TC	$2,892.33	$2,892.33	$2,892.33