Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.70 / $44.70 / $65.65	Facility	26	$44.70	$44.70	$65.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $168.00 / $545.54	Professional		$85.02	$168.00	$545.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.08 / $48.21 / $129.35	Professional	26	$42.08	$48.21	$129.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.26 / $325.39 / $567.28	Professional	50	$181.26	$325.39	$567.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.04 / $52.99 / $86.00	Professional	TC	$40.04	$52.99	$86.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $126.39 / $153.69	Professional		$85.02	$126.39	$153.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.41 / $62.73 / $79.50	Professional	26	$41.41	$62.73	$79.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.64 / $65.37 / $143.19	Professional	26	$41.64	$65.37	$143.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.03 / $59.45 / $135.72	Professional	TC	$44.03	$59.45	$135.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.51 / $50.51 / $50.51	Facility	26	$50.51	$50.51	$50.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $128.76 / $248.53	Professional		$88.44	$128.76	$248.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.25 / $72.81 / $126.25	Professional	26	$48.25	$72.81	$126.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.35 / $70.67 / $129.04	Professional	TC	$45.35	$70.67	$129.04
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $52.08 / $68.93 / $118.96	Facility	26	$52.08	$68.93	$118.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $59.00 / $114.00	Professional		$56.00	$59.00	$114.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $149.51 / $149.51 / $149.51	Professional	50	$149.51	$149.51	$149.51
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $44.58 / $44.58 / $44.58	Professional	TC	$44.58	$44.58	$44.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $83.61 / $167.95	Professional		$44.57	$83.61	$167.95
United Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $110.36 / $222.11	Professional		$83.34	$110.36	$222.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.46 / $58.91 / $115.77	Professional	26	$45.46	$58.91	$115.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.89 / $58.49 / $111.17	Professional	TC	$39.89	$58.49	$111.17
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $81.36 / $221.59 / $221.59	Facility	26	$81.36	$221.59	$221.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $641.76 / $774.53 / $774.53	Professional		$641.76	$774.53	$774.53
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $283.72 / $358.73 / $358.73	Professional	26	$283.72	$358.73	$358.73
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $358.05 / $415.80 / $415.80	Professional	TC	$358.05	$415.80	$415.80