Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.53 / $25.48 / $39.53	Facility	26	$23.53	$25.48	$39.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $37.29 / $111.84	Professional		$36.74	$37.29	$111.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $23.53 / $50.61	Professional	26	$23.48	$23.53	$50.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.77 / $15.48 / $66.18	Professional	TC	$13.77	$15.48	$66.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $29.15 / $41.47	Professional	26	$17.98	$29.15	$41.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.47 / $52.68 / $69.84	Professional	26	$37.47	$52.68	$69.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.04 / $86.22 / $126.57	Professional	TC	$54.04	$86.22	$126.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.11 / $27.11 / $27.11	Facility	26	$27.11	$27.11	$27.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $105.75 / $177.97	Professional		$57.41	$105.75	$177.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.85 / $42.08 / $69.55	Professional	26	$26.85	$42.08	$69.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.61 / $63.19 / $113.74	Professional	TC	$27.61	$63.19	$113.74
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $39.11 / $44.00 / $70.33	Facility	26	$39.11	$44.00	$70.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $85.00	Professional		$30.00	$55.00	$85.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $39.11 / $39.11 / $39.11	Professional	26	$39.11	$39.11	$39.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $36.95 / $131.80	Professional		$21.27	$36.95	$131.80
United Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $87.81 / $148.13	Professional		$54.50	$87.81	$148.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.74 / $35.26 / $67.23	Professional	26	$24.74	$35.26	$67.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.09 / $51.22 / $94.61	Professional	TC	$24.09	$51.22	$94.61
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $55.73 / $76.08 / $120.92	Facility	26	$55.73	$76.08	$120.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $447.52 / $447.52 / $447.52	Professional		$447.52	$447.52	$447.52
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $338.48 / $338.48 / $338.48	Professional	26	$338.48	$338.48	$338.48
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $338.48 / $338.48 / $338.48	Professional	TC	$338.48	$338.48	$338.48