Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $32.36 / $72.44	Facility	26	$23.44	$32.36	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $194.98	Professional		$32.36	$53.70	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $34.67 / $95.50	Professional	26	$20.89	$34.67	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $22.91 / $77.62	Professional	TC	$10.96	$22.91	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $25.12 / $39.81	Professional	26	$17.78	$25.12	$39.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $52.48 / $70.79	Professional	26	$36.31	$52.48	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $87.10 / $125.89	Professional	TC	$35.48	$87.10	$125.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $27.54 / $38.90	Facility	26	$5.89	$27.54	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $177.83	Professional		$53.70	$104.71	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $40.74 / $69.18	Professional	26	$26.92	$40.74	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $63.10 / $117.49	Professional	TC	$21.38	$63.10	$117.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $47.86 / $47.86	Professional	26	$47.86	$47.86	$47.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $54.95 / $162.18	Professional		$21.38	$54.95	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $147.91	Professional		$51.29	$87.10	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $33.88 / $64.57	Professional	26	$25.70	$33.88	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $51.29 / $93.33	Professional	TC	$25.12	$51.29	$93.33
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	26	$338.84	$338.84	$338.84
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	TC	$338.84	$338.84	$338.84