Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.41 / $20.14 / $22.78	Facility	26	$18.41	$20.14	$22.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $95.66 / $370.16	Professional		$66.06	$95.66	$370.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.73 / $26.30 / $553.32	Professional	26	$22.73	$26.30	$553.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.78 / $67.54 / $142.84	Professional	TC	$40.78	$67.54	$142.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $68.30 / $68.86	Professional		$68.30	$68.30	$68.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.93 / $29.57 / $46.36	Professional	26	$25.93	$29.57	$46.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $94.05 / $94.05	Professional		$92.68	$94.05	$94.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.84 / $50.40 / $59.38	Professional	26	$23.84	$50.40	$59.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.59 / $66.51 / $103.46	Professional	TC	$36.59	$66.51	$103.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $55.17 / $154.47	Professional		$34.78	$55.17	$154.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.89 / $14.83 / $45.97	Professional	26	$13.89	$14.83	$45.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.35 / $41.10 / $115.58	Professional	TC	$20.35	$41.10	$115.58
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.84 / $44.30 / $82.34	Facility	26	$23.84	$44.30	$82.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $80.09 / $80.09	Professional		$80.09	$80.09	$80.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $69.30 / $125.62	Professional		$17.80	$69.30	$125.62
United Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $68.61 / $137.50	Professional		$43.42	$68.61	$137.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.78 / $27.78 / $51.54	Professional	26	$16.78	$27.78	$51.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.73 / $49.53 / $89.42	Professional	TC	$25.73	$49.53	$89.42
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $139.56 / $139.56 / $139.56	Facility	26	$139.56	$139.56	$139.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $750.04 / $750.04 / $924.23	Professional		$750.04	$750.04	$924.23
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $179.95 / $179.95 / $224.33	Professional	26	$179.95	$179.95	$224.33
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $570.15 / $570.15 / $699.90	Professional	TC	$570.15	$570.15	$699.90