Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.19 / $48.44 / $48.44	Facility	26	$40.19	$48.44	$48.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $82.26 / $153.16	Professional		$63.90	$82.26	$153.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.46 / $55.11 / $172.35	Professional	26	$41.46	$55.11	$172.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $28.54 / $50.57	Professional	TC	$22.44	$28.54	$50.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.16 / $70.40 / $110.93	Professional	26	$28.16	$70.40	$110.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.69 / $97.31 / $124.42	Professional	26	$50.69	$97.31	$124.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.26 / $30.22 / $47.00	Professional	TC	$25.26	$30.22	$47.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $72.44 / $155.75	Professional		$42.24	$72.44	$155.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.82 / $34.90 / $111.43	Professional	26	$28.82	$34.90	$111.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.60 / $22.45 / $56.62	Professional	TC	$11.60	$22.45	$56.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $70.04 / $85.70 / $133.32	Facility	26	$70.04	$85.70	$133.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $68.18 / $68.18	Professional		$68.18	$68.18	$68.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $54.85 / $189.71	Professional		$18.57	$54.85	$189.71
United Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $89.48 / $154.07	Professional		$52.52	$89.48	$154.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.64 / $59.39 / $102.64	Professional	26	$35.64	$59.39	$102.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.24 / $24.77 / $45.41	Professional	TC	$14.24	$24.77	$45.41
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $298.82 / $298.82 / $298.82	Facility	26	$298.82	$298.82	$298.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $587.10 / $587.10 / $746.40	Professional		$587.10	$587.10	$746.40
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $381.48 / $381.48 / $479.33	Professional	26	$381.48	$381.48	$479.33
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $205.55 / $205.55 / $267.08	Professional	TC	$205.55	$205.55	$267.08