Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.57 / $26.47 / $38.70	Facility	26	$21.57	$26.47	$38.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $80.25 / $235.60	Professional		$40.04	$80.25	$235.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $36.61 / $123.12	Professional	26	$21.37	$36.61	$123.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.46 / $21.07 / $44.46	Professional	TC	$18.46	$21.07	$44.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $66.94 / $97.37	Professional		$42.19	$66.94	$97.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.69 / $36.43 / $52.99	Professional	26	$29.69	$36.43	$52.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $65.84 / $65.84	Professional		$65.84	$65.84	$65.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.02 / $53.81 / $67.09	Professional	26	$34.02	$53.81	$67.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.20 / $54.47 / $106.83	Professional	TC	$31.20	$54.47	$106.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.99 / $26.99 / $26.99	Facility	26	$26.99	$26.99	$26.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $88.08 / $130.52	Professional		$47.58	$88.08	$130.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.06 / $36.82 / $65.00	Professional	26	$23.06	$36.82	$65.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.06 / $42.99 / $82.66	Professional	TC	$22.06	$42.99	$82.66
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $32.97 / $38.01 / $67.31	Facility	26	$32.97	$38.01	$67.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $61.00 / $163.72	Professional		$28.00	$61.00	$163.72
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $35.15 / $35.15	Professional	26	$35.15	$35.15	$35.15
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $75.51 / $75.51 / $82.69	Professional	TC	$75.51	$75.51	$82.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $35.40 / $73.90	Professional		$19.07	$35.40	$73.90
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $69.16 / $122.50	Professional		$44.94	$69.16	$122.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $31.20 / $65.27	Professional	26	$22.86	$31.20	$65.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.25 / $34.11 / $59.50	Professional	TC	$20.25	$34.11	$59.50
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $115.95 / $115.95	Facility	26	$55.98	$115.95	$115.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $426.95 / $426.95 / $495.56	Professional		$426.95	$426.95	$495.56
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $151.44 / $151.44 / $186.98	Professional	26	$151.44	$151.44	$186.98
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $378.66 / $378.66 / $378.66	Professional	TC	$378.66	$378.66	$378.66