Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $37.94 / $64.39	Facility	26	$25.12	$37.94	$64.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $205.77 / $544.88	Professional		$183.96	$205.77	$544.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $37.94 / $78.16	Professional	26	$21.46	$37.94	$78.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $153.36 / $162.49 / $315.92	Professional	TC	$153.36	$162.49	$315.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.51 / $34.86 / $78.45	Professional	26	$28.51	$34.86	$78.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $59.15 / $59.15	Professional		$59.15	$59.15	$59.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.86 / $52.67 / $108.35	Professional	26	$33.86	$52.67	$108.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $205.35 / $290.43 / $383.65	Professional	TC	$205.35	$290.43	$383.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.28 / $43.28 / $43.28	Facility	26	$43.28	$43.28	$43.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.10 / $313.83 / $498.07	Professional		$215.10	$313.83	$498.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.41 / $44.75 / $87.93	Professional	26	$26.41	$44.75	$87.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.94 / $266.87 / $409.90	Professional	TC	$170.94	$266.87	$409.90
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $24.38 / $39.00 / $83.69	Facility	26	$24.38	$39.00	$83.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $210.00 / $703.98	Professional		$50.00	$210.00	$703.98
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $24.38 / $39.00 / $139.62	Professional	26	$24.38	$39.00	$139.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $200.75 / $358.34	Professional		$39.29	$200.75	$358.34
United Facility/Professional Professional Modifier Low / Median / High Price $197.01 / $258.95 / $519.74	Professional		$197.01	$258.95	$519.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.17 / $41.14 / $89.37	Professional	26	$22.17	$41.14	$89.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.29 / $227.38 / $417.09	Professional	TC	$157.29	$227.38	$417.09
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $87.53 / $181.36 / $181.36	Facility	26	$87.53	$181.36	$181.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,588.86 / $1,588.86 / $1,662.38	Professional		$1,588.86	$1,588.86	$1,662.38
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $391.31 / $391.31 / $391.31	Professional	26	$391.31	$391.31	$391.31
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,356.90 / $1,356.90 / $1,456.72	Professional	TC	$1,356.90	$1,356.90	$1,456.72