Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.39 / $36.40 / $74.17	Facility	26	$36.39	$36.40	$74.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $72.65 / $168.55	Professional		$65.84	$72.65	$168.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.15 / $40.53 / $79.19	Professional	26	$34.15	$40.53	$79.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $34.50 / $49.69	Professional	TC	$21.05	$34.50	$49.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $111.25 / $111.25	Professional		$111.25	$111.25	$111.25
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 $33.29 / $67.91 / $122.71	Professional	26	$33.29	$67.91	$122.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.67 / $44.34 / $55.51	Professional	TC	$31.67	$44.34	$55.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $102.14 / $178.03	Professional		$72.80	$102.14	$178.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.70 / $63.70 / $111.42	Professional	26	$44.70	$63.70	$111.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $37.60 / $68.59	Professional	TC	$24.75	$37.60	$68.59
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $50.31 / $50.31 / $65.77	Facility	26	$50.31	$50.31	$65.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $61.00 / $90.00	Professional		$29.00	$61.00	$90.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $50.31 / $50.31	Professional	26	$50.31	$50.31	$50.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $58.78 / $113.77	Professional		$51.56	$58.78	$113.77
United Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $70.86 / $132.19	Professional		$54.87	$70.86	$132.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.26 / $46.48 / $88.64	Professional	26	$34.26	$46.48	$88.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $26.98 / $55.03	Professional	TC	$18.48	$26.98	$55.03
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $83.68 / $176.34	Facility	26	$80.00	$83.68	$176.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $568.04 / $568.04 / $586.04	Professional		$568.04	$568.04	$586.04
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $234.92 / $234.92 / $285.00	Professional	26	$234.92	$234.92	$285.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $244.63 / $244.63 / $301.05	Professional	TC	$244.63	$244.63	$301.05