Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $46.77 / $114.82	Facility	26	$33.11	$46.77	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $165.96 / $436.52	Professional		$72.44	$165.96	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $72.44 / $151.36	Professional	26	$33.11	$72.44	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $60.26 / $141.25	Professional	TC	$39.81	$60.26	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $141.25	Professional		$58.88	$72.44	$141.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $44.67 / $74.13	Professional	26	$29.51	$44.67	$74.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $38.02 / $56.23	Professional	TC	$31.62	$38.02	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $75.86 / $114.82	Professional	26	$50.12	$75.86	$114.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $95.50 / $158.49	Professional	TC	$74.13	$95.50	$158.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $41.69 / $58.88	Facility	26	$8.91	$41.69	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $229.09	Professional		$87.10	$131.83	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $54.95 / $97.72	Professional	26	$32.36	$54.95	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $77.62 / $125.89	Professional	TC	$47.86	$77.62	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $190.55	Professional		$144.54	$165.96	$190.55
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $69.18 / $79.43	Professional	26	$56.23	$69.18	$79.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $83.18 / $177.83	Professional		$39.81	$83.18	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $186.21	Professional		$79.43	$107.15	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $81.28	Professional	26	$33.88	$44.67	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $60.26 / $102.33	Professional	TC	$44.67	$60.26	$102.33
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $707.95	Professional		$575.44	$575.44	$707.95
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $269.15 / $269.15 / $288.40	Professional	26	$269.15	$269.15	$288.40
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $354.81 / $426.58	Professional	TC	$354.81	$354.81	$426.58