Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $20.42 / $37.15	Facility	26	$19.50	$20.42	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $93.33	Professional		$46.77	$57.54	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $77.62	Professional	26	$18.20	$20.89	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $36.31 / $60.26	Professional	TC	$28.18	$36.31	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	26	$44.67	$44.67	$44.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $37.15 / $50.12	Professional	26	$20.89	$37.15	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $42.66 / $83.18	Professional	TC	$31.62	$42.66	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $54.95 / $107.15	Professional		$26.30	$54.95	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $18.62 / $43.65	Professional	26	$11.75	$18.62	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $28.18 / $70.79	Professional	TC	$14.13	$28.18	$70.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $97.72	Professional		$87.10	$87.10	$97.72
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $45.71 / $47.86	Professional	26	$45.71	$45.71	$47.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $51.29 / $79.43	Professional		$23.44	$51.29	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $112.20	Professional		$32.36	$56.23	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $22.91 / $43.65	Professional	26	$14.13	$22.91	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $32.36 / $69.18	Professional	TC	$18.62	$32.36	$69.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $707.95	Professional		$467.74	$467.74	$707.95
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $186.21 / $199.53	Professional	26	$186.21	$186.21	$199.53
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $309.03 / $501.19	Professional	TC	$309.03	$309.03	$501.19