Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.31 / $27.69 / $44.28	Facility	26	$25.31	$27.69	$44.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $60.59 / $130.87	Professional		$43.79	$60.59	$130.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.59 / $25.92 / $45.36	Professional	26	$23.59	$25.92	$45.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $33.58 / $56.46	Professional	TC	$16.67	$33.58	$56.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $85.94 / $120.85	Professional		$49.95	$85.94	$120.85
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 $23.24 / $42.94 / $83.64	Professional	26	$23.24	$42.94	$83.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.47 / $38.99 / $51.59	Professional	TC	$30.47	$38.99	$51.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.51 / $28.51 / $28.51	Facility	26	$28.51	$28.51	$28.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $75.61 / $137.44	Professional		$52.58	$75.61	$137.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.00 / $42.49 / $69.48	Professional	26	$29.00	$42.49	$69.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $34.29 / $66.56	Professional	TC	$20.30	$34.29	$66.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $29.87 / $34.26 / $45.76	Facility	26	$29.87	$34.26	$45.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $37.76 / $58.00	Professional		$23.00	$37.76	$58.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $16.78 / $16.78 / $16.78	Professional	TC	$16.78	$16.78	$16.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $52.62 / $93.98	Professional		$38.22	$52.62	$93.98
United Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $55.46 / $101.92	Professional		$40.36	$55.46	$101.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.40 / $30.13 / $55.37	Professional	26	$23.40	$30.13	$55.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.07 / $24.85 / $48.45	Professional	TC	$15.07	$24.85	$48.45
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $58.37 / $80.00 / $122.08	Facility	26	$58.37	$80.00	$122.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $398.18 / $398.18 / $488.70	Professional		$398.18	$398.18	$488.70
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $160.04 / $160.04 / $198.98	Professional	26	$160.04	$160.04	$198.98
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $238.14 / $238.14 / $289.73	Professional	TC	$238.14	$238.14	$289.73