Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.75 / $28.85 / $46.46	Facility	26	$27.75	$28.85	$46.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $60.35 / $109.25	Professional		$57.31	$60.35	$109.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.96 / $29.30 / $64.86	Professional	26	$25.96	$29.30	$64.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.82 / $33.03 / $48.61	Professional	TC	$30.82	$33.03	$48.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $59.13 / $101.52	Professional		$54.25	$59.13	$101.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $37.27 / $49.72	Professional	26	$25.12	$37.27	$49.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $80.00	Professional		$70.00	$70.00	$80.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.53 / $51.08 / $83.73	Professional	26	$25.53	$51.08	$83.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $65.41 / $101.24	Professional	TC	$32.47	$65.41	$101.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.36 / $31.36 / $31.36	Facility	26	$31.36	$31.36	$31.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.91 / $89.75 / $160.90	Professional		$60.91	$89.75	$160.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.48 / $41.44 / $71.92	Professional	26	$28.48	$41.44	$71.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.28 / $46.51 / $82.29	Professional	TC	$31.28	$46.51	$82.29
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $29.90 / $39.00 / $48.40	Facility	26	$29.90	$39.00	$48.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $47.00 / $143.25	Professional		$36.00	$47.00	$143.25
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $29.90 / $29.90 / $29.90	Professional	26	$29.90	$29.90	$29.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $58.01 / $128.60	Professional		$32.47	$58.01	$128.60
United Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $65.38 / $122.87	Professional		$49.46	$65.38	$122.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.44 / $32.15 / $59.56	Professional	26	$24.44	$32.15	$59.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.13 / $32.83 / $64.80	Professional	TC	$25.13	$32.83	$64.80
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $64.69 / $107.70 / $133.05	Facility	26	$64.69	$107.70	$133.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $717.26 / $717.26 / $717.26	Professional		$717.26	$717.26	$717.26
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $340.55 / $340.55 / $340.55	Professional	26	$340.55	$340.55	$340.55
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $563.89 / $563.89 / $563.89	Professional	TC	$563.89	$563.89	$563.89