Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.68 / $34.07 / $64.87	Facility	26	$33.68	$34.07	$64.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $145.34 / $314.82	Professional		$123.38	$145.34	$314.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.18 / $41.38 / $121.49	Professional	26	$29.18	$41.38	$121.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.21 / $103.22 / $250.03	Professional	TC	$94.21	$103.22	$250.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $56.68 / $127.85	Professional	26	$19.57	$56.68	$127.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.24 / $74.84 / $107.40	Professional	26	$35.24	$74.84	$107.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.05 / $114.85 / $190.46	Professional	TC	$73.05	$114.85	$190.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $137.29 / $277.19	Professional		$61.59	$137.29	$277.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.29 / $34.52 / $93.60	Professional	26	$21.29	$34.52	$93.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.08 / $74.06 / $206.79	Professional	TC	$33.08	$74.06	$206.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $77.00 / $93.28	Facility	26	$64.00	$77.00	$93.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $59.36 / $218.72	Professional		$59.36	$59.36	$218.72
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $82.70 / $82.70 / $82.70	Professional	26	$82.70	$82.70	$82.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $103.55 / $302.97	Professional		$26.30	$103.55	$302.97
United Facility/Professional Professional Modifier Low / Median / High Price $92.38 / $167.50 / $257.68	Professional		$92.38	$167.50	$257.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.83 / $43.73 / $88.26	Professional	26	$26.83	$43.73	$88.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.67 / $108.75 / $276.45	Professional	TC	$57.67	$108.75	$276.45
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $99.23 / $239.31 / $239.31	Facility	26	$99.23	$239.31	$239.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,140.80 / $1,140.80 / $1,458.60	Professional		$1,140.80	$1,140.80	$1,458.60
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $330.05 / $330.05 / $330.38	Professional	26	$330.05	$330.05	$330.38
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $871.18 / $871.18 / $1,128.23	Professional	TC	$871.18	$871.18	$1,128.23