Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.91 / $31.37 / $51.16	Facility	26	$27.91	$31.37	$51.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $131.24 / $391.00	Professional		$71.81	$131.24	$391.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.84 / $54.57 / $125.00	Professional	26	$27.84	$54.57	$125.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.90 / $54.95 / $117.28	Professional	TC	$43.90	$54.95	$117.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $111.43 / $142.61	Professional		$66.53	$111.43	$142.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.92 / $41.25 / $63.20	Professional	26	$22.92	$41.25	$63.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $81.81 / $81.81	Professional		$81.81	$81.81	$81.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.87 / $68.87 / $92.41	Professional	26	$43.87	$68.87	$92.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.26 / $114.17 / $151.02	Professional	TC	$74.26	$114.17	$151.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.11 / $35.11 / $35.11	Facility	26	$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $124.44 / $218.81	Professional		$82.35	$124.44	$218.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.38 / $46.73 / $84.62	Professional	26	$29.38	$46.73	$84.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.31 / $77.17 / $130.57	Professional	TC	$52.31	$77.17	$130.57
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $45.56 / $55.00 / $82.75	Facility	26	$45.56	$55.00	$82.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $104.00 / $293.63	Professional		$42.00	$104.00	$293.63
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $45.56 / $55.00 / $114.12	Professional	26	$45.56	$55.00	$114.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $72.81 / $133.34	Professional		$32.65	$72.81	$133.34
United Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $105.37 / $222.38	Professional		$78.81	$105.37	$222.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.86 / $39.65 / $83.62	Professional	26	$28.86	$39.65	$83.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.61 / $63.14 / $131.54	Professional	TC	$48.61	$63.14	$131.54
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $151.29 / $151.29	Facility	26	$85.90	$151.29	$151.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $524.64 / $524.64 / $673.35	Professional		$524.64	$524.64	$673.35
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $195.35 / $195.35 / $247.88	Professional	26	$195.35	$195.35	$247.88
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $329.23 / $329.23 / $425.48	Professional	TC	$329.23	$329.23	$425.48