Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.00 / $23.82 / $35.79	Facility	26	$21.00	$23.82	$35.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.01 / $205.50 / $379.26	Professional		$196.01	$205.50	$379.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.16 / $21.00 / $59.74	Professional	26	$20.16	$21.00	$59.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $175.02 / $185.93 / $339.66	Professional	TC	$175.02	$185.93	$339.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.10 / $208.10 / $208.10	Professional		$208.10	$208.10	$208.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $35.81 / $48.83	Professional	26	$17.38	$35.81	$48.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.77 / $54.01 / $63.47	Professional	26	$35.77	$54.01	$63.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $307.77 / $384.86 / $557.04	Professional	TC	$307.77	$384.86	$557.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	26	$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.77 / $415.50 / $651.85	Professional		$270.77	$415.50	$651.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.89 / $43.20 / $68.05	Professional	26	$26.89	$43.20	$68.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $243.07 / $370.21 / $583.79	Professional	TC	$243.07	$370.21	$583.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $34.61 / $34.61 / $62.08	Facility	26	$34.61	$34.61	$62.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $281.00 / $312.00	Professional		$32.00	$281.00	$312.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $34.61 / $34.61	Professional	26	$34.61	$34.61	$34.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $280.25 / $524.40	Professional		$34.29	$280.25	$524.40
United Facility/Professional Professional Modifier Low / Median / High Price $229.24 / $324.94 / $630.20	Professional		$229.24	$324.94	$630.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.98 / $33.29 / $68.53	Professional	26	$23.98	$33.29	$68.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.77 / $286.64 / $571.20	Professional	TC	$206.77	$286.64	$571.20
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $55.06 / $85.00 / $113.34	Facility	26	$55.06	$85.00	$113.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,459.76 / $1,808.10 / $1,808.10	Professional		$1,459.76	$1,808.10	$1,808.10
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $147.05 / $185.33 / $185.33	Professional	26	$147.05	$185.33	$185.33
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,312.71 / $1,622.78 / $1,622.78	Professional	TC	$1,312.71	$1,622.78	$1,622.78