Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $74.13 / $104.71	Facility	26	$40.74	$74.13	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $208.93	Professional		$72.44	$85.11	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $50.12 / $138.04	Professional	26	$38.90	$50.12	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $42.66 / $83.18	Professional	TC	$25.12	$42.66	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $131.83	Professional		$93.33	$114.82	$131.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $50.12 / $93.33	Professional	26	$42.66	$50.12	$93.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	TC	$46.77	$46.77	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $54.95 / $141.25	Professional	26	$39.81	$54.95	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $51.29 / $64.57	Professional	TC	$38.02	$51.29	$64.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $45.71 / $66.07	Facility	26	$10.00	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $208.93	Professional		$85.11	$112.20	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $69.18 / $125.89	Professional	26	$44.67	$69.18	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $45.71 / $85.11	Professional	TC	$29.51	$45.71	$85.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $158.49	Professional		$60.26	$120.23	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $134.90	Professional		$63.10	$83.18	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $51.29 / $87.10	Professional	26	$38.02	$51.29	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $54.95	Professional	TC	$21.88	$31.62	$54.95
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	26	$263.03	$263.03	$263.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $269.15 / $269.15 / $323.59	Professional	26	$269.15	$269.15	$323.59
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $288.40 / $354.81	Professional	TC	$288.40	$288.40	$354.81