Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.16 / $44.16 / $44.16	Facility	26	$44.16	$44.16	$44.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $86.67 / $108.27	Professional		$75.52	$86.67	$108.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.08 / $44.16 / $71.23	Professional	26	$40.08	$44.16	$71.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.78 / $41.43 / $57.36	Professional	TC	$33.78	$41.43	$57.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.03 / $156.72 / $156.72	Professional		$127.03	$156.72	$156.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.84 / $64.12 / $140.22	Professional	26	$40.84	$64.12	$140.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.11 / $50.12 / $114.24	Professional	TC	$36.11	$50.12	$114.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $50.00 / $50.00	Facility	26	$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $117.23 / $219.60	Professional		$71.00	$117.23	$219.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $66.23 / $119.17	Professional	26	$43.65	$66.23	$119.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.21 / $52.42 / $103.98	Professional	TC	$19.21	$52.42	$103.98
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $42.16 / $58.00 / $82.94	Facility	26	$42.16	$58.00	$82.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $57.00 / $107.00	Professional		$49.00	$57.00	$107.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $46.61 / $46.61 / $46.61	Professional	26	$46.61	$46.61	$46.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $77.56 / $154.91	Professional		$42.32	$77.56	$154.91
United Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $95.42 / $217.13	Professional		$67.81	$95.42	$217.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.21 / $55.69 / $115.01	Professional	26	$41.21	$55.69	$115.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.83 / $41.14 / $101.05	Professional	TC	$26.83	$41.14	$101.05
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $215.13 / $215.13	Facility	26	$100.00	$215.13	$215.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $567.30 / $567.30 / $715.35	Professional		$567.30	$567.30	$715.35
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $318.67 / $318.67 / $349.28	Professional	26	$318.67	$318.67	$349.28
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $318.67 / $318.67 / $366.08	Professional	TC	$318.67	$318.67	$366.08