Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	26	$51.29	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $52.48	Professional		$20.89	$25.70	$52.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $19.95 / $33.11	Professional	26	$18.20	$19.95	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $24.55	Professional	TC	$3.02	$3.98	$24.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	26	$36.31	$36.31	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.99 / $51.29	Professional	26	$19.95	$23.99	$51.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $4.79 / $31.62	Professional	TC	$3.98	$4.79	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $46.77 / $77.62	Professional		$22.91	$46.77	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $27.54 / $54.95	Professional	26	$16.98	$27.54	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $7.59 / $43.65	Professional	TC	$3.02	$7.59	$43.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $30.20 / $39.81	Professional		$5.89	$30.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $58.88	Professional		$17.38	$25.12	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.50 / $33.11	Professional	26	$14.45	$19.50	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $4.17 / $32.36	Professional	TC	$2.88	$4.17	$32.36
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $323.59	Professional		$302.00	$323.59	$323.59
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $158.49 / $165.96	Professional	26	$158.49	$158.49	$165.96
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $223.87 / $223.87	Professional	TC	$186.21	$223.87	$223.87