Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.37 / $24.07 / $40.42	Facility	26	$20.37	$24.07	$40.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.53 / $174.80 / $258.51	Professional		$120.53	$174.80	$258.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $24.07 / $66.30	Professional	26	$18.76	$24.07	$66.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.87 / $115.15 / $204.06	Professional	TC	$97.87	$115.15	$204.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.91 / $20.07 / $48.24	Professional	26	$16.91	$20.07	$48.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $52.40 / $52.40	Professional		$52.40	$52.40	$52.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.23 / $43.31 / $67.94	Professional	26	$29.23	$43.31	$67.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.01 / $291.47 / $366.98	Professional	TC	$162.01	$291.47	$366.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $201.38 / $319.51	Professional		$133.47	$201.38	$319.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.96 / $32.40 / $55.48	Professional	26	$21.96	$32.40	$55.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.79 / $171.97 / $257.77	Professional	TC	$106.79	$171.97	$257.77
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $21.21 / $34.00 / $51.46	Facility	26	$21.21	$34.00	$51.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $161.00 / $448.74	Professional		$32.00	$161.00	$448.74
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $21.21 / $21.21 / $34.00	Professional	26	$21.21	$21.21	$34.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $360.16 / $360.16 / $360.16	Professional	TC	$360.16	$360.16	$360.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $133.32 / $213.26	Professional		$33.54	$133.32	$213.26
United Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $172.61 / $318.89	Professional		$122.81	$172.61	$318.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.29 / $28.42 / $56.59	Professional	26	$19.29	$28.42	$56.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.88 / $147.24 / $244.14	Professional	TC	$97.88	$147.24	$244.14
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $76.12 / $174.32 / $174.32	Facility	26	$76.12	$174.32	$174.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,037.03 / $1,037.03 / $1,063.54	Professional		$1,037.03	$1,037.03	$1,063.54
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $303.79 / $303.79 / $303.79	Professional	26	$303.79	$303.79	$303.79
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $848.18 / $848.18 / $947.51	Professional	TC	$848.18	$848.18	$947.51