Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.04 / $45.05 / $71.42	Facility	26	$45.04	$45.05	$71.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $62.68 / $106.48	Professional		$55.57	$62.68	$106.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.59 / $45.05 / $111.55	Professional	26	$38.59	$45.05	$111.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $17.63 / $33.35	Professional	TC	$16.82	$17.63	$33.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.71 / $57.71 / $57.71	Professional	26	$57.71	$57.71	$57.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.25 / $83.67 / $114.77	Professional	26	$63.25	$83.67	$114.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.44 / $32.82 / $51.64	Professional	TC	$20.44	$32.82	$51.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.32 / $52.32 / $52.32	Facility	26	$52.32	$52.32	$52.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $98.16 / $172.17	Professional		$61.67	$98.16	$172.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.15 / $68.56 / $122.37	Professional	26	$44.15	$68.56	$122.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.67 / $29.56 / $49.42	Professional	TC	$18.67	$29.56	$49.42
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $53.10 / $72.00 / $119.00	Facility	26	$53.10	$72.00	$119.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $57.00 / $81.00	Professional		$24.00	$57.00	$81.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $62.82 / $62.82 / $62.82	Professional	26	$62.82	$62.82	$62.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $71.33 / $110.40	Professional		$26.25	$71.33	$110.40
United Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $89.29 / $173.23	Professional		$59.19	$89.29	$173.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.32 / $65.15 / $124.43	Professional	26	$42.32	$65.15	$124.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $24.49 / $49.50	Professional	TC	$17.67	$24.49	$49.50
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $107.57 / $120.26 / $231.56	Facility	26	$107.57	$120.26	$231.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $404.61 / $404.61 / $541.88	Professional		$404.61	$404.61	$541.88
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $402.86 / $402.86 / $402.86	Professional	26	$402.86	$402.86	$402.86
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $402.86 / $402.86 / $402.86	Professional	TC	$402.86	$402.86	$402.86