Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.98 / $33.89 / $51.30	Facility	26	$31.98	$33.89	$51.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $72.68 / $864.04	Professional		$62.40	$72.68	$864.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.73 / $91.61 / $641.27	Professional	26	$28.73	$91.61	$641.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.78 / $30.79 / $59.42	Professional	TC	$30.78	$30.79	$59.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $52.06 / $85.79	Professional		$52.06	$52.06	$85.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.71 / $43.25 / $56.82	Professional	26	$24.71	$43.25	$56.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.01 / $62.81 / $82.08	Professional	26	$45.01	$62.81	$82.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.39 / $84.37 / $104.36	Professional	TC	$55.39	$84.37	$104.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.07 / $37.07 / $37.07	Facility	26	$37.07	$37.07	$37.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $111.41 / $177.10	Professional		$74.39	$111.41	$177.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.47 / $48.88 / $87.19	Professional	26	$31.47	$48.88	$87.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $61.22 / $90.29	Professional	TC	$39.72	$61.22	$90.29
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $44.82 / $60.00 / $96.35	Facility	26	$44.82	$60.00	$96.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $43.00 / $84.00	Professional		$41.00	$43.00	$84.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $44.82 / $44.82 / $44.82	Professional	26	$44.82	$44.82	$44.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $51.95 / $138.00	Professional		$44.23	$51.95	$138.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $93.44 / $174.98	Professional		$64.48	$93.44	$174.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.38 / $46.26 / $88.93	Professional	26	$30.38	$46.26	$88.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.81 / $55.57 / $89.25	Professional	TC	$32.81	$55.57	$89.25
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $76.59 / $85.90 / $170.00	Facility	26	$76.59	$85.90	$170.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $468.11 / $468.11 / $560.92	Professional		$468.11	$468.11	$560.92
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $378.10 / $378.10 / $378.10	Professional	26	$378.10	$378.10	$378.10
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $378.10 / $378.10 / $378.10	Professional	TC	$378.10	$378.10	$378.10