Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $18.20 / $27.54	Facility	26	$18.20	$18.20	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $363.08	Professional		$54.95	$91.20	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $30.90 / $100.00	Professional	26	$16.98	$30.90	$100.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.88 / $104.71 / $245.47	Professional	50	$33.88	$104.71	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $44.67 / $83.18	Professional	TC	$37.15	$44.67	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $109.65	Professional		$52.48	$67.61	$109.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $23.99 / $32.36	Professional	26	$17.78	$23.99	$32.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $25.12 / $58.88	Professional	26	$16.98	$25.12	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $46.77 / $120.23	Professional	TC	$35.48	$46.77	$120.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.37 / $20.42 / $29.51	Facility	26	$4.37	$20.42	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $173.78	Professional		$58.88	$93.33	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $28.84 / $53.70	Professional	26	$17.78	$28.84	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $63.10 / $120.23	Professional	TC	$40.74	$63.10	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $60.26 / $125.89	Professional		$19.50	$60.26	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $120.23	Professional		$52.48	$69.18	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $21.88 / $37.15	Professional	26	$17.38	$21.88	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $46.77 / $85.11	Professional	TC	$35.48	$46.77	$85.11
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $501.19	Professional		$416.87	$501.19	$501.19
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $144.54 / $144.54	Professional	26	$114.82	$144.54	$144.54
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $354.81 / $354.81	Professional	TC	$302.00	$354.81	$354.81