Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.00 / $24.92 / $35.28	Facility	26	$21.00	$24.92	$35.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $82.34 / $278.97	Professional		$42.06	$82.34	$278.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $27.02 / $76.08	Professional	26	$18.01	$27.02	$76.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.74 / $46.09 / $70.76	Professional	TC	$20.74	$46.09	$70.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $64.23 / $80.27	Professional		$37.67	$64.23	$80.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $25.32 / $47.04	Professional	26	$17.48	$25.32	$47.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.45 / $28.45 / $28.45	Professional	TC	$28.45	$28.45	$28.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $47.92 / $47.92	Professional		$47.92	$47.92	$47.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.31 / $41.56 / $67.94	Professional	26	$27.31	$41.56	$67.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.46 / $96.82 / $150.52	Professional	TC	$62.46	$96.82	$150.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.65 / $26.65 / $26.65	Facility	26	$26.65	$26.65	$26.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $95.84 / $162.27	Professional		$50.57	$95.84	$162.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $33.07 / $61.93	Professional	26	$19.13	$33.07	$61.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.67 / $59.53 / $127.99	Professional	TC	$24.67	$59.53	$127.99
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.19 / $32.00 / $57.51	Facility	26	$28.19	$32.00	$57.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $61.00 / $172.00	Professional		$29.00	$61.00	$172.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $28.19 / $28.19 / $32.00	Professional	26	$28.19	$28.19	$32.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $86.15 / $86.15 / $86.15	Professional	TC	$86.15	$86.15	$86.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $41.87 / $84.72	Professional		$23.73	$41.87	$84.72
United Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $82.36 / $140.16	Professional		$47.06	$82.36	$140.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.38 / $29.07 / $54.92	Professional	26	$18.38	$29.07	$54.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.43 / $50.02 / $85.54	Professional	TC	$22.43	$50.02	$85.54
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $55.69 / $115.19 / $115.19	Facility	26	$55.69	$115.19	$115.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $592.92 / $592.92 / $592.92	Professional		$592.92	$592.92	$592.92
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $232.81 / $232.81 / $232.81	Professional	26	$232.81	$232.81	$232.81
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $385.57 / $409.84 / $409.84	Professional	TC	$385.57	$409.84	$409.84