Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $65.78 / $184.67	Facility		$21.89	$65.78	$184.67
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.98 / $2.98 / $11.12	Facility	26	$2.98	$2.98	$11.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $29.01 / $60.00	Professional		$21.12	$29.01	$60.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.86 / $3.75 / $8.61	Professional	26	$2.86	$3.75	$8.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.59 / $10.95 / $19.63	Professional	52	$10.59	$10.95	$19.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.35 / $22.62 / $37.39	Professional	TC	$18.35	$22.62	$37.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $3.89 / $3.89	Professional	26	$3.89	$3.89	$3.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $55.44 / $55.44	Professional		$54.00	$55.44	$55.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.73 / $5.19 / $21.12	Professional	26	$2.73	$5.19	$21.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $40.25 / $58.31	Professional	TC	$17.89	$40.25	$58.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Facility		$26.10	$26.10	$26.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.41 / $3.41 / $3.41	Facility	26	$3.41	$3.41	$3.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $47.05 / $89.02	Professional		$21.22	$47.05	$89.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.11 / $7.32 / $20.01	Professional	26	$3.11	$7.32	$20.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.88 / $35.61 / $69.56	Professional	TC	$17.88	$35.61	$69.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $37.00 / $74.04	Facility		$21.89	$37.00	$74.04
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $4.53 / $11.00 / $12.00	Facility	26	$4.53	$11.00	$12.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $22.00 / $32.00	Professional		$4.00	$22.00	$32.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $11.00 / $11.53	Professional	26	$10.97	$11.00	$11.53
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $55.50 / $60.62 / $120.83	Professional	50	$55.50	$60.62	$120.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $32.40 / $79.40	Professional		$4.49	$32.40	$79.40
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $26.00 / $54.87	Professional		$19.32	$26.00	$54.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.00 / $4.46 / $8.44	Professional	26	$3.00	$4.46	$8.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $21.98 / $46.70	Professional	TC	$16.23	$21.98	$46.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $132.93 / $132.93	Facility		$68.06	$132.93	$132.93
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $21.14 / $100.00 / $100.00	Facility	26	$21.14	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $311.26 / $311.26 / $311.26	Professional		$311.26	$311.26	$311.26
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $129.00 / $129.00 / $129.00	Professional	26	$129.00	$129.00	$129.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $252.63 / $252.63 / $252.63	Professional	TC	$252.63	$252.63	$252.63