Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $60.73 / $133.36	Professional		$52.64	$60.73	$133.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.92 / $36.04 / $52.87	Professional	26	$30.92	$36.04	$52.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.88 / $24.69 / $35.88	Professional	TC	$19.88	$24.69	$35.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $109.85 / $109.85	Professional		$109.85	$109.85	$109.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.66 / $44.66 / $44.66	Professional		$44.66	$44.66	$44.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $41.06 / $80.91	Professional	26	$34.22	$41.06	$80.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.48 / $29.38 / $53.21	Professional	TC	$24.48	$29.38	$53.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.59 / $41.59 / $41.59	Facility	26	$41.59	$41.59	$41.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $78.48 / $157.38	Professional		$42.86	$78.48	$157.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $51.44 / $94.62	Professional	26	$25.70	$51.44	$94.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.94 / $30.13 / $63.94	Professional	TC	$16.94	$30.13	$63.94
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.00 / $36.00 / $53.75	Facility	26	$36.00	$36.00	$53.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $48.00 / $80.00	Professional		$33.00	$48.00	$80.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $53.00 / $100.28	Professional		$37.90	$53.00	$100.28
United Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $53.22 / $103.18	Professional		$31.20	$53.22	$103.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $32.59 / $58.27	Professional	26	$19.18	$32.59	$58.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.64 / $21.56 / $45.68	Professional	TC	$11.64	$21.56	$45.68
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $84.68 / $100.00 / $183.07	Facility	26	$84.68	$100.00	$183.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $396.08 / $396.08 / $525.75	Professional		$396.08	$396.08	$525.75
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $347.34 / $347.34 / $347.34	Professional	26	$347.34	$347.34	$347.34
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $166.53 / $166.53 / $233.18	Professional	TC	$166.53	$166.53	$233.18