Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $74.13 / $141.25	Facility	26	$54.95	$74.13	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $275.42	Professional		$83.18	$112.20	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.79 / $177.83	Professional	26	$51.29	$70.79	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $41.69 / $81.28	Professional	TC	$23.99	$41.69	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $223.87	Professional		$87.10	$123.03	$223.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $72.44 / $114.82	Professional	26	$57.54	$72.44	$114.82
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 $52.48 / $74.13 / $190.55	Professional	26	$52.48	$74.13	$190.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $52.48 / $64.57	Professional	TC	$38.02	$52.48	$64.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $63.10 / $89.13	Facility	26	$13.49	$63.10	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $245.47	Professional		$97.72	$131.83	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $162.18	Professional	26	$60.26	$85.11	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $44.67 / $85.11	Professional	TC	$30.20	$44.67	$85.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $144.54 / $186.21	Professional		$66.07	$144.54	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $158.49	Professional		$75.86	$97.72	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $112.20	Professional	26	$51.29	$66.07	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $31.62 / $54.95	Professional	TC	$22.39	$31.62	$54.95
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $794.33	Professional		$741.31	$741.31	$794.33
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $354.81 / $354.81 / $436.52	Professional	26	$354.81	$354.81	$436.52
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $288.40 / $354.81	Professional	TC	$288.40	$288.40	$354.81