Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.54 / $52.62 / $80.11	Facility	26	$42.54	$52.62	$80.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.11 / $224.11 / $503.98	Professional		$119.11	$224.11	$503.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.54 / $72.63 / $183.38	Professional	26	$42.54	$72.63	$183.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.56 / $99.56 / $194.10	Professional	TC	$76.56	$99.56	$194.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $183.87 / $267.27	Professional		$97.82	$183.87	$267.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.19 / $62.72 / $88.83	Professional	26	$35.19	$62.72	$88.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $101.41 / $128.72 / $148.22	Professional	TC	$101.41	$128.72	$148.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $125.70 / $125.70	Professional		$125.70	$125.70	$125.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.29 / $103.16 / $140.59	Professional	26	$67.29	$103.16	$140.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.92 / $183.25 / $252.18	Professional	TC	$120.92	$183.25	$252.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.96 / $53.96 / $53.96	Facility	26	$53.96	$53.96	$53.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $197.19 / $359.65	Professional		$129.50	$197.19	$359.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.73 / $71.79 / $129.80	Professional	26	$44.73	$71.79	$129.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.18 / $126.72 / $227.45	Professional	TC	$84.18	$126.72	$227.45
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $70.29 / $97.00 / $132.10	Facility	26	$70.29	$97.00	$132.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $173.00 / $487.01	Professional		$64.00	$173.00	$487.01
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $70.29 / $97.00 / $173.99	Professional	26	$70.29	$97.00	$173.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $118.46 / $218.00	Professional		$50.71	$118.46	$218.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.17 / $175.47 / $343.83	Professional		$121.17	$175.47	$343.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.91 / $59.41 / $125.18	Professional	26	$43.91	$59.41	$125.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.17 / $110.66 / $223.61	Professional	TC	$79.17	$110.66	$223.61
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $111.76 / $232.47 / $232.47	Facility	26	$111.76	$232.47	$232.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $872.98 / $872.98 / $1,120.05	Professional		$872.98	$872.98	$1,120.05
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $298.50 / $298.50 / $379.35	Professional	26	$298.50	$298.50	$379.35
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $574.48 / $574.48 / $740.70	Professional	TC	$574.48	$574.48	$740.70