Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.10 / $26.80 / $49.50	Facility	26	$19.10	$26.80	$49.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $105.39 / $242.04	Professional		$86.29	$105.39	$242.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $26.80 / $97.87	Professional	26	$23.42	$26.80	$97.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.06 / $78.59 / $181.74	Professional	TC	$69.06	$78.59	$181.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.47 / $34.88 / $46.68	Professional	26	$15.47	$34.88	$46.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.85 / $47.83 / $51.81	Professional	26	$27.85	$47.83	$51.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.83 / $86.48 / $138.37	Professional	TC	$77.83	$86.48	$138.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $98.99 / $213.11	Professional		$48.11	$98.99	$213.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $26.80 / $53.54	Professional	26	$14.00	$26.80	$53.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.11 / $70.33 / $153.53	Professional	TC	$34.11	$70.33	$153.53
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $39.57 / $39.81 / $53.63	Facility	26	$39.57	$39.81	$53.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $59.36 / $137.49	Professional		$59.36	$59.36	$137.49
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Professional	26	$39.81	$39.81	$39.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $77.63 / $224.86	Professional		$20.70	$77.63	$224.86
United Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $91.73 / $196.55	Professional		$58.17	$91.73	$196.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $26.57 / $50.53	Professional	26	$16.55	$26.57	$50.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.27 / $65.16 / $135.59	Professional	TC	$41.27	$65.16	$135.59
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $78.48 / $162.63 / $162.63	Facility	26	$78.48	$162.63	$162.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $875.57 / $875.57 / $1,079.93	Professional		$875.57	$875.57	$1,079.93
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $212.17 / $212.17 / $261.23	Professional	26	$212.17	$212.17	$261.23
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $663.40 / $663.40 / $818.70	Professional	TC	$663.40	$663.40	$818.70