Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.38 / $45.80 / $69.73	Facility	26	$45.38	$45.80	$69.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $210.42 / $709.48	Professional		$119.48	$210.42	$709.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.80 / $79.27 / $257.12	Professional	26	$45.80	$79.27	$257.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.66 / $143.11 / $452.37	Professional	TC	$73.66	$143.11	$452.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $91.97 / $151.13	Professional		$86.37	$91.97	$151.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.95 / $56.38 / $127.29	Professional	26	$33.95	$56.38	$127.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $86.01 / $120.93	Professional	26	$64.95	$86.01	$120.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $148.86 / $217.20 / $345.64	Professional	TC	$148.86	$217.20	$345.64
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.40 / $61.28 / $109.41	Facility	26	$51.40	$61.28	$109.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $93.00 / $148.00	Professional		$56.00	$93.00	$148.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $61.28 / $61.28 / $61.28	Professional	26	$61.28	$61.28	$61.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $109.20 / $260.80	Professional		$63.06	$109.20	$260.80
United Facility/Professional Professional Modifier Low / Median / High Price $117.81 / $196.13 / $326.57	Professional		$117.81	$196.13	$326.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.12 / $59.04 / $123.69	Professional	26	$41.12	$59.04	$123.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.11 / $135.96 / $218.26	Professional	TC	$77.11	$135.96	$218.26
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $331.68 / $331.68 / $417.52	Facility	26	$331.68	$331.68	$417.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $997.59 / $997.59 / $997.80	Professional		$997.59	$997.59	$997.80
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $279.39 / $279.39 / $368.63	Professional	26	$279.39	$279.39	$368.63
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $798.20 / $798.20 / $798.20	Professional	TC	$798.20	$798.20	$798.20