Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.47 / $44.32 / $70.86	Facility	26	$41.47	$44.32	$70.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $80.61 / $212.71	Professional		$65.54	$80.61	$212.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.70 / $43.11 / $90.44	Professional	26	$38.70	$43.11	$90.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.20 / $39.11 / $76.63	Professional	TC	$23.20	$39.11	$76.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $115.34 / $152.52	Professional		$97.88	$115.34	$152.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.00 / $53.92 / $66.54	Professional	26	$52.00	$53.92	$66.54
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 $38.02 / $69.91 / $134.38	Professional	26	$38.02	$69.91	$134.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.06 / $47.54 / $60.28	Professional	TC	$34.06	$47.54	$60.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.26 / $46.26 / $46.26	Facility	26	$46.26	$46.26	$46.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.18 / $106.38 / $189.03	Professional		$78.18	$106.38	$189.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.83 / $68.91 / $113.10	Professional	26	$46.83	$68.91	$113.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.16 / $40.32 / $74.04	Professional	TC	$26.16	$40.32	$74.04
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $47.98 / $54.83 / $78.05	Facility	26	$47.98	$54.83	$78.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $57.00 / $87.00	Professional		$30.00	$57.00	$87.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $21.91 / $21.91 / $21.91	Professional	TC	$21.91	$21.91	$21.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $66.48 / $125.53	Professional		$56.01	$66.48	$125.53
United Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $78.81 / $153.57	Professional		$60.48	$78.81	$153.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.43 / $49.69 / $89.42	Professional	26	$37.43	$49.69	$89.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $28.82 / $51.38	Professional	TC	$19.30	$28.82	$51.38
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $95.51 / $199.79	Facility	26	$80.00	$95.51	$199.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $622.15 / $622.15 / $648.67	Professional		$622.15	$622.15	$648.67
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $262.07 / $262.07 / $324.98	Professional	26	$262.07	$262.07	$324.98
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $264.17 / $264.17 / $323.63	Professional	TC	$264.17	$264.17	$323.63