Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $26.92 / $26.92	Facility	26	$22.39	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $257.04	Professional		$75.86	$97.72	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $34.67 / $93.33	Professional	26	$25.12	$34.67	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $66.07 / $204.17	Professional	TC	$53.70	$66.07	$204.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Professional	26	$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $100.00 / $123.03	Professional	26	$27.54	$100.00	$123.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $177.83 / $257.04	Professional	TC	$61.66	$177.83	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $316.23	Professional		$52.48	$107.15	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $33.11 / $100.00	Professional	26	$16.22	$33.11	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $72.44 / $208.93	Professional	TC	$37.15	$72.44	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $363.08	Professional		$316.23	$316.23	$363.08
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $125.89	Professional	26	$120.23	$120.23	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $72.44 / $109.65	Professional		$30.90	$72.44	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $309.03	Professional		$63.10	$114.82	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $35.48 / $93.33	Professional	26	$20.89	$35.48	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $75.86 / $223.87	Professional	TC	$43.65	$75.86	$223.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $1,202.26	Professional		$1,148.15	$1,202.26	$1,202.26
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	26	$363.08	$363.08	$363.08
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $794.33 / $912.01 / $912.01	Professional	TC	$794.33	$912.01	$912.01