Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.07 / $27.82 / $76.89	Facility	26	$26.07	$27.82	$76.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $57.49 / $176.40	Professional		$46.30	$57.49	$176.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $30.44 / $101.05	Professional	26	$25.75	$30.44	$101.05
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $40.29 / $84.29 / $285.00	Professional	52	$40.29	$84.29	$285.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $23.70 / $65.69	Professional	TC	$20.23	$23.70	$65.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $97.13 / $131.00	Professional		$38.57	$97.13	$131.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $44.58 / $59.94	Professional	26	$21.31	$44.58	$59.94
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $9.47 / $12.05 / $27.12	Professional	52	$9.47	$12.05	$27.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.25 / $29.76 / $32.40	Professional	TC	$17.25	$29.76	$32.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $63.36 / $85.54	Professional	26	$47.86	$63.36	$85.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.26 / $47.82 / $68.38	Professional	TC	$38.26	$47.82	$68.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $84.28 / $146.50	Professional		$55.33	$84.28	$146.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.86 / $46.71 / $81.99	Professional	26	$30.86	$46.71	$81.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.47 / $37.57 / $64.52	Professional	TC	$24.47	$37.57	$64.52
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $44.09 / $44.38 / $81.37	Facility	26	$44.09	$44.38	$81.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $38.00 / $70.00	Professional		$31.00	$38.00	$70.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $44.38 / $44.38 / $106.57	Professional	26	$44.38	$44.38	$106.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $43.81 / $87.50	Professional		$24.41	$43.81	$87.50
United Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $84.85 / $144.22	Professional		$53.27	$84.85	$144.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.15 / $44.62 / $77.81	Professional	26	$29.15	$44.62	$77.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.49 / $36.40 / $62.80	Professional	TC	$23.49	$36.40	$62.80
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $67.28 / $139.60 / $139.60	Facility	26	$67.28	$139.60	$139.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $334.42 / $432.98 / $432.98	Professional		$334.42	$432.98	$432.98
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $182.49 / $229.28 / $229.28	Professional	26	$182.49	$229.28	$229.28
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $151.88 / $203.70 / $203.70	Professional	TC	$151.88	$203.70	$203.70