Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.64 / $25.89 / $42.71	Facility	26	$23.64	$25.89	$42.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $101.59 / $298.45	Professional		$87.20	$101.59	$298.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $25.78 / $75.87	Professional	26	$23.33	$25.78	$75.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $70.20 / $165.36	Professional	TC	$61.40	$70.20	$165.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $104.57 / $259.79	Professional		$77.45	$104.57	$259.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.21 / $34.65 / $53.62	Professional	26	$19.21	$34.65	$53.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $61.80 / $84.28 / $84.28	Professional	TC	$61.80	$84.28	$84.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.97 / $60.12 / $80.23	Professional	26	$38.97	$60.12	$80.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.74 / $130.75 / $188.91	Professional	TC	$96.74	$130.75	$188.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.72 / $29.72 / $29.72	Facility	26	$29.72	$29.72	$29.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $146.59 / $254.71	Professional		$94.30	$146.59	$254.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $41.29 / $70.80	Professional	26	$28.15	$41.29	$70.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.20 / $105.95 / $189.01	Professional	TC	$67.20	$105.95	$189.01
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $35.75 / $41.31 / $72.29	Facility	26	$35.75	$41.31	$72.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $118.00 / $383.71	Professional		$35.00	$118.00	$383.71
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $41.31 / $41.31 / $96.67	Professional	26	$41.31	$41.31	$96.67
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $93.61 / $93.61 / $93.61	Professional	TC	$93.61	$93.61	$93.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $110.39 / $292.30	Professional		$36.63	$110.39	$292.30
United Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $123.88 / $233.56	Professional		$86.78	$123.88	$233.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.72 / $34.26 / $72.16	Professional	26	$25.72	$34.26	$72.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.25 / $89.93 / $181.74	Professional	TC	$54.25	$89.93	$181.74
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $61.02 / $126.11 / $126.11	Facility	26	$61.02	$126.11	$126.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $692.04 / $896.48 / $896.48	Professional		$692.04	$896.48	$896.48
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $165.29 / $207.90 / $207.90	Professional	26	$165.29	$207.90	$207.90
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $526.74 / $688.58 / $688.58	Professional	TC	$526.74	$688.58	$688.58