Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.87 / $30.08 / $45.79	Facility	26	$24.87	$30.08	$45.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $100.18 / $246.51	Professional		$51.13	$100.18	$246.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.52 / $27.95 / $80.88	Professional	26	$24.52	$27.95	$80.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.01 / $57.68 / $94.41	Professional	TC	$26.01	$57.68	$94.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $45.72 / $144.63	Professional		$44.45	$45.72	$144.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $29.44 / $57.83	Professional	26	$20.39	$29.44	$57.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.39 / $25.39 / $25.39	Professional	TC	$25.39	$25.39	$25.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $72.95 / $72.95	Professional		$72.95	$72.95	$72.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.85 / $61.72 / $83.63	Professional	26	$40.85	$61.72	$83.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.44 / $140.05 / $190.54	Professional	TC	$77.44	$140.05	$190.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.27 / $31.27 / $31.27	Facility	26	$31.27	$31.27	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $110.10 / $179.55	Professional		$61.40	$110.10	$179.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.75 / $43.42 / $72.94	Professional	26	$26.75	$43.42	$72.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.84 / $61.74 / $127.18	Professional	TC	$30.84	$61.74	$127.18
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $42.56 / $48.00 / $74.86	Facility	26	$42.56	$48.00	$74.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $74.00 / $209.06	Professional		$36.00	$74.00	$209.06
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $42.56 / $42.56 / $48.00	Professional	26	$42.56	$42.56	$48.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $107.42 / $107.42 / $107.42	Professional	TC	$107.42	$107.42	$107.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $50.25 / $109.26	Professional		$28.15	$50.25	$109.26
United Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $96.81 / $164.98	Professional		$56.93	$96.81	$164.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.72 / $35.78 / $74.39	Professional	26	$25.72	$35.78	$74.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.13 / $54.25 / $89.93	Professional	TC	$28.13	$54.25	$89.93
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $134.57 / $134.57	Facility	26	$85.90	$134.57	$134.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $505.35 / $505.35 / $562.97	Professional		$505.35	$505.35	$562.97
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $186.58 / $186.58 / $221.33	Professional	26	$186.58	$186.58	$221.33
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $342.11 / $399.92 / $399.92	Professional	TC	$342.11	$399.92	$399.92