Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.38 / $37.28 / $62.77	Facility	26	$33.38	$37.28	$62.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $142.22 / $351.00	Professional		$73.81	$142.22	$351.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $51.61 / $140.76	Professional	26	$33.34	$51.61	$140.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.42 / $55.88 / $112.93	Professional	TC	$40.42	$55.88	$112.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $128.94 / $165.58	Professional		$83.58	$128.94	$165.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.88 / $49.50 / $74.80	Professional	26	$26.88	$49.50	$74.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $79.31 / $79.31 / $79.31	Professional	TC	$79.31	$79.31	$79.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $97.35 / $97.35	Professional		$97.35	$97.35	$97.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.71 / $75.87 / $110.86	Professional	26	$51.71	$75.87	$110.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.94 / $107.50 / $151.38	Professional	TC	$75.94	$107.50	$151.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $134.12 / $226.86	Professional		$88.23	$134.12	$226.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.28 / $55.64 / $100.63	Professional	26	$35.28	$55.64	$100.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.13 / $77.44 / $125.17	Professional	TC	$49.13	$77.44	$125.17
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $54.72 / $65.00 / $95.16	Facility	26	$54.72	$65.00	$95.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $111.00 / $301.83	Professional		$50.00	$111.00	$301.83
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $54.72 / $54.72 / $65.00	Professional	26	$54.72	$54.72	$65.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $165.31 / $165.31 / $165.31	Professional	TC	$165.31	$165.31	$165.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $71.25 / $140.32	Professional		$35.97	$71.25	$140.32
United Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $109.51 / $209.28	Professional		$83.93	$109.51	$209.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.15 / $47.08 / $98.81	Professional	26	$34.15	$47.08	$98.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.63 / $63.91 / $124.92	Professional	TC	$45.63	$63.91	$124.92
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $178.60 / $178.60	Facility	26	$100.00	$178.60	$178.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $579.47 / $579.47 / $712.88	Professional		$579.47	$579.47	$712.88
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $269.13 / $269.13 / $288.98	Professional	26	$269.13	$269.13	$288.98
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $351.46 / $351.46 / $423.83	Professional	TC	$351.46	$351.46	$423.83