Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $64.57	Professional		$25.12	$30.20	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.99 / $36.31	Professional	26	$19.05	$23.99	$36.31
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $41.69 / $41.69	Professional	52	$30.20	$41.69	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $26.92	Professional	TC	$3.02	$3.98	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $45.71	Professional		$36.31	$36.31	$45.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $28.18 / $53.70	Professional	26	$23.44	$28.18	$53.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.63 / $4.37 / $31.62	Professional	TC	$3.63	$4.37	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $79.43	Professional		$26.30	$52.48	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.18 / $64.57	Professional	26	$17.38	$28.18	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $7.08 / $48.98	Professional	TC	$2.82	$7.08	$48.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $35.48 / $45.71	Professional		$5.89	$35.48	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $60.26	Professional		$19.95	$29.51	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $21.38 / $33.88	Professional	26	$15.85	$21.38	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $4.07 / $37.15	Professional	TC	$2.82	$4.07	$37.15
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $199.53	Professional	26	$154.88	$154.88	$199.53
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	TC	$218.78	$218.78	$218.78