Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $54.95 / $104.71	Facility	26	$40.74	$54.95	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $251.19	Professional		$70.79	$97.72	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $52.48 / $141.25	Professional	26	$38.02	$52.48	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $38.90 / $85.11	Professional	TC	$21.88	$38.90	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $181.97	Professional		$70.79	$100.00	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $50.12 / $60.26	Professional	26	$37.15	$50.12	$60.26
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 $38.90 / $54.95 / $141.25	Professional	26	$38.90	$54.95	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $47.86 / $58.88	Professional	TC	$34.67	$47.86	$58.88
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 $79.43 / $104.71 / $199.53	Professional		$79.43	$104.71	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $64.57 / $120.23	Professional	26	$44.67	$64.57	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $40.74 / $77.62	Professional	TC	$26.92	$40.74	$77.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $151.36	Professional		$58.88	$112.20	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $125.89	Professional		$60.26	$79.43	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $50.12 / $83.18	Professional	26	$37.15	$50.12	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.84 / $47.86	Professional	TC	$19.50	$28.84	$47.86
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 $616.60 / $616.60 / $645.65	Professional		$616.60	$616.60	$645.65
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $263.03 / $323.59	Professional	26	$263.03	$263.03	$323.59
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $263.03 / $323.59	Professional	TC	$263.03	$263.03	$323.59