Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.58 / $21.82 / $34.72	Facility	26	$20.58	$21.82	$34.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $56.52 / $95.50	Professional		$39.60	$56.52	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $21.35 / $37.40	Professional	26	$18.85	$21.35	$37.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.17 / $35.72 / $50.70	Professional	TC	$18.17	$35.72	$50.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $73.84 / $73.84	Professional		$73.84	$73.84	$73.84
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 $18.92 / $32.93 / $68.76	Professional	26	$18.92	$32.93	$68.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.67 / $40.11 / $53.85	Professional	TC	$31.67	$40.11	$53.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.15 / $23.15 / $23.15	Facility	26	$23.15	$23.15	$23.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $69.04 / $123.31	Professional		$47.02	$69.04	$123.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.18 / $34.79 / $55.78	Professional	26	$23.18	$34.79	$55.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $35.27 / $67.92	Professional	TC	$20.55	$35.27	$67.92
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $28.09 / $35.22	Facility	26	$24.55	$28.09	$35.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $36.42 / $52.00	Professional		$23.00	$36.42	$52.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $24.55 / $24.55	Professional	26	$24.55	$24.55	$24.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $54.15 / $87.71	Professional		$31.11	$54.15	$87.71
United Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $51.47 / $89.50	Professional		$36.25	$51.47	$89.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.97 / $24.70 / $44.39	Professional	26	$18.97	$24.70	$44.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.38 / $24.80 / $51.47	Professional	TC	$15.38	$24.80	$51.47
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $47.70 / $80.00 / $99.28	Facility	26	$47.70	$80.00	$99.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $378.70 / $378.70 / $461.40	Professional		$378.70	$378.70	$461.40
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $130.11 / $130.11 / $160.35	Professional	26	$130.11	$130.11	$160.35
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $242.47 / $242.47 / $301.05	Professional	TC	$242.47	$242.47	$301.05