Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.84 / $23.77 / $36.19	Facility	26	$18.84	$23.77	$36.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $57.25 / $115.81	Professional		$54.10	$57.25	$115.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.11 / $18.84 / $44.96	Professional	26	$18.11	$18.84	$44.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.38 / $38.40 / $84.04	Professional	TC	$36.38	$38.40	$84.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.78 / $43.79 / $43.79	Professional	26	$15.78	$43.79	$43.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $52.20 / $52.20	Professional		$52.20	$52.20	$52.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.40 / $48.77 / $63.90	Professional	26	$33.40	$48.77	$63.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.28 / $84.80 / $118.75	Professional	TC	$62.28	$84.80	$118.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.92 / $23.92 / $23.92	Facility	26	$23.92	$23.92	$23.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $105.98 / $169.51	Professional		$61.02	$105.98	$169.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.03 / $34.44 / $59.52	Professional	26	$21.03	$34.44	$59.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.03 / $68.52 / $113.87	Professional	TC	$40.03	$68.52	$113.87
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $24.33 / $37.85 / $65.28	Facility	26	$24.33	$37.85	$65.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $52.00 / $84.00	Professional		$29.00	$52.00	$84.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $77.02 / $77.02 / $77.02	Professional	26	$77.02	$77.02	$77.02
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $60.42 / $60.42 / $64.81	Professional	TC	$60.42	$60.42	$64.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $83.40 / $151.60	Professional		$36.61	$83.40	$151.60
United Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $80.95 / $158.41	Professional		$60.67	$80.95	$158.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.60 / $28.85 / $55.36	Professional	26	$21.60	$28.85	$55.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.57 / $54.85 / $104.29	Professional	TC	$38.57	$54.85	$104.29
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $68.72 / $101.94 / $101.94	Facility	26	$68.72	$101.94	$101.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $420.07 / $547.20 / $547.20	Professional		$420.07	$547.20	$547.20
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $132.09 / $166.95 / $166.95	Professional	26	$132.09	$166.95	$166.95
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $288.04 / $380.25 / $380.25	Professional	TC	$288.04	$380.25	$380.25