Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $85.11	Professional		$38.02	$47.86	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $33.11	Professional	26	$15.85	$19.95	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.99 / $47.86	Professional	TC	$19.05	$23.99	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $41.69 / $44.67	Professional		$38.90	$41.69	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.99 / $40.74	Professional	26	$19.95	$23.99	$40.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $27.54 / $54.95	Professional	TC	$25.12	$27.54	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $128.82	Professional		$36.31	$70.79	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $29.51 / $56.23	Professional	26	$15.49	$29.51	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $41.69 / $75.86	Professional	TC	$19.50	$41.69	$75.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $74.13	Professional		$29.51	$37.15	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $70.79	Professional		$30.90	$41.69	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $18.62 / $30.20	Professional	26	$12.30	$18.62	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.44 / $41.69	Professional	TC	$17.78	$23.44	$41.69
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $389.05	Professional		$346.74	$346.74	$389.05
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $128.82 / $162.18	Professional	26	$128.82	$128.82	$162.18
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	TC	$229.09	$229.09	$229.09