Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.24 / $39.47 / $57.49	Facility	26	$37.24	$39.47	$57.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $257.19 / $746.11	Professional		$191.65	$257.19	$746.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $37.24 / $102.75	Professional	26	$32.11	$37.24	$102.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $149.47 / $219.95 / $399.82	Professional	TC	$149.47	$219.95	$399.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.71 / $204.71 / $334.95	Professional		$204.71	$204.71	$334.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.22 / $47.05 / $105.81	Professional	26	$28.22	$47.05	$105.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.15 / $70.03 / $93.41	Professional	26	$51.15	$70.03	$93.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.92 / $355.86 / $413.62	Professional	TC	$194.92	$355.86	$413.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.72 / $42.72 / $42.72	Facility	26	$42.72	$42.72	$42.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.34 / $347.85 / $707.53	Professional		$177.34	$347.85	$707.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $55.49 / $98.82	Professional	26	$35.54	$55.49	$98.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.66 / $299.67 / $607.41	Professional	TC	$139.66	$299.67	$607.41
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $50.88 / $58.00 / $110.60	Facility	26	$50.88	$58.00	$110.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $298.00 / $344.00	Professional		$46.00	$298.00	$344.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $50.88 / $50.88 / $50.88	Professional	26	$50.88	$50.88	$50.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $333.93 / $398.06	Professional		$53.10	$333.93	$398.06
United Facility/Professional Professional Modifier Low / Median / High Price $173.30 / $318.18 / $722.13	Professional		$173.30	$318.18	$722.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.51 / $52.77 / $102.55	Professional	26	$34.51	$52.77	$102.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.91 / $273.00 / $604.34	Professional	TC	$141.91	$273.00	$604.34
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $87.34 / $95.71 / $463.50	Facility	26	$87.34	$95.71	$463.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,395.00 / $2,395.00 / $2,395.00	Professional		$2,395.00	$2,395.00	$2,395.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $719.00 / $719.00 / $719.00	Professional	26	$719.00	$719.00	$719.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,676.00 / $1,676.00 / $1,956.98	Professional	TC	$1,676.00	$1,676.00	$1,956.98