Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.09 / $33.85 / $54.14	Facility	26	$31.09	$33.85	$54.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $67.34 / $145.44	Professional		$51.82	$67.34	$145.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.14 / $32.50 / $68.58	Professional	26	$29.14	$32.50	$68.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $36.25 / $61.73	Professional	TC	$19.32	$36.25	$61.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $80.79 / $80.79	Professional		$80.79	$80.79	$80.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.94 / $54.00 / $103.51	Professional	26	$28.94	$54.00	$103.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.97 / $41.52 / $53.85	Professional	TC	$31.97	$41.52	$53.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.10 / $35.10 / $35.10	Facility	26	$35.10	$35.10	$35.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $86.76 / $156.01	Professional		$61.25	$86.76	$156.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.61 / $53.08 / $85.39	Professional	26	$35.61	$53.08	$85.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.51 / $36.08 / $68.98	Professional	TC	$21.51	$36.08	$68.98
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.96 / $41.89 / $58.77	Facility	26	$36.96	$41.89	$58.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $44.47 / $69.00	Professional		$26.00	$44.47	$69.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $18.23 / $18.23	Professional	TC	$18.23	$18.23	$18.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $55.19 / $105.92	Professional		$47.59	$55.19	$105.92
United Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $64.44 / $121.55	Professional		$47.96	$64.44	$121.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.85 / $38.17 / $67.52	Professional	26	$28.85	$38.17	$67.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $26.18 / $48.47	Professional	TC	$16.64	$26.18	$48.47
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $72.78 / $80.00 / $152.05	Facility	26	$72.78	$80.00	$152.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $486.90 / $486.90 / $550.58	Professional		$486.90	$486.90	$550.58
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $196.52 / $196.52 / $246.68	Professional	26	$196.52	$196.52	$246.68
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $244.63 / $244.63 / $303.83	Professional	TC	$244.63	$244.63	$303.83