Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.46 / $33.01 / $33.01	Facility	26	$28.46	$33.01	$33.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.03 / $248.18 / $500.04	Professional		$182.03	$248.18	$500.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.20 / $38.82 / $62.16	Professional	26	$29.20	$38.82	$62.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.21 / $214.24 / $437.87	Professional	TC	$143.21	$214.24	$437.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.67 / $44.22 / $77.68	Professional	26	$42.67	$44.22	$77.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.54 / $69.70 / $85.79	Professional	26	$34.54	$69.70	$85.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $127.94 / $203.81 / $319.86	Professional	TC	$127.94	$203.81	$319.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $164.65 / $433.33	Professional		$99.53	$164.65	$433.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.13 / $24.26 / $77.91	Professional	26	$21.13	$24.26	$77.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.26 / $142.97 / $369.53	Professional	TC	$76.26	$142.97	$369.53
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $52.52 / $66.25 / $67.70	Facility	26	$52.52	$66.25	$67.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $68.59 / $68.59	Professional		$68.59	$68.59	$68.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $147.30 / $847.13	Professional		$25.16	$147.30	$847.13
United Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $213.09 / $487.56	Professional		$122.48	$213.09	$487.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.54 / $41.57 / $75.06	Professional	26	$26.54	$41.57	$75.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.95 / $185.49 / $422.89	Professional	TC	$94.95	$185.49	$422.89
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $199.50 / $199.50 / $199.50	Facility	26	$199.50	$199.50	$199.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,077.04 / $2,077.04 / $2,291.85	Professional		$2,077.04	$2,077.04	$2,291.85
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $267.88 / $267.88 / $320.70	Professional	26	$267.88	$267.88	$320.70
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,809.15 / $1,809.15 / $1,971.15	Professional	TC	$1,809.15	$1,809.15	$1,971.15