Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $51.29 / $125.89	Facility	26	$37.15	$51.29	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $501.19	Professional		$95.50	$190.55	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $85.11 / $218.78	Professional	26	$36.31	$85.11	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $81.28 / $218.78	Professional	TC	$57.54	$81.28	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $181.97	Professional		$77.62	$109.65	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $43.65 / $69.18	Professional	26	$32.36	$43.65	$69.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $57.54 / $107.15	Professional	TC	$44.67	$57.54	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $125.89	Professional	26	$54.95	$83.18	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $100.00 / $204.17	Professional	TC	$67.61	$100.00	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $45.71 / $66.07	Facility	26	$9.77	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $281.84	Professional		$93.33	$151.36	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $61.66 / $109.65	Professional	26	$36.31	$61.66	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $93.33 / $169.82	Professional	TC	$51.29	$93.33	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $251.19	Professional		$123.03	$141.25	$251.19
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $77.62 / $89.13	Professional	26	$61.66	$77.62	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $100.00 / $218.78	Professional		$43.65	$100.00	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $234.42	Professional		$93.33	$123.03	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $48.98 / $89.13	Professional	26	$37.15	$48.98	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $75.86 / $144.54	Professional	TC	$54.95	$75.86	$144.54
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $912.01	Professional		$707.95	$707.95	$912.01
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $257.04 / $257.04 / $323.59	Professional	26	$257.04	$257.04	$323.59
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $446.68 / $575.44	Professional	TC	$446.68	$446.68	$575.44