Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.42 / $27.07 / $64.25	Facility	26	$26.42	$27.07	$64.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $105.02 / $312.00	Professional		$51.60	$105.02	$312.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $28.67 / $87.05	Professional	26	$24.78	$28.67	$87.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $30.69 / $98.28	Professional	TC	$18.29	$30.69	$98.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $102.25 / $108.51	Professional		$42.07	$102.25	$108.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.90 / $32.57 / $74.30	Professional	26	$31.90	$32.57	$74.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.82 / $7.82 / $7.82	Professional	TC	$7.82	$7.82	$7.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $76.19 / $94.10	Professional		$76.19	$76.19	$94.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.59 / $61.04 / $87.43	Professional	26	$43.59	$61.04	$87.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.30 / $173.78 / $231.79	Professional	TC	$99.30	$173.78	$231.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.32 / $49.32 / $49.32	Facility	26	$49.32	$49.32	$49.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $140.03 / $274.00	Professional		$69.13	$140.03	$274.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.54 / $46.50 / $86.05	Professional	26	$32.54	$46.50	$86.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $99.30 / $189.96	Professional	TC	$20.57	$99.30	$189.96
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $41.73 / $42.18 / $103.21	Facility	26	$41.73	$42.18	$103.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $109.00 / $211.01	Professional		$40.00	$109.00	$211.01
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $249.47 / $249.47 / $316.52	Professional	50	$249.47	$249.47	$316.52
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $100.32 / $124.13 / $124.13	Professional	TC	$100.32	$124.13	$124.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $43.15 / $96.55	Professional		$10.91	$43.15	$96.55
United Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $121.59 / $219.35	Professional		$75.09	$121.59	$219.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.33 / $38.96 / $82.20	Professional	26	$29.33	$38.96	$82.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.63 / $84.21 / $149.81	Professional	TC	$35.63	$84.21	$149.81
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $101.38 / $210.71 / $210.71	Facility	26	$101.38	$210.71	$210.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $575.39 / $575.39 / $575.39	Professional		$575.39	$575.39	$575.39
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $253.44 / $344.78 / $344.78	Professional	26	$253.44	$344.78	$344.78
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $443.81 / $443.81 / $443.81	Professional	TC	$443.81	$443.81	$443.81