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 / $47.97	Facility	26	$44.16	$44.16	$47.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $136.11 / $207.17	Professional		$116.12	$136.11	$207.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.11 / $44.16 / $79.68	Professional	26	$40.11	$44.16	$79.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.14 / $84.56 / $137.16	Professional	TC	$75.14	$84.56	$137.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $218.00 / $218.00	Professional		$218.00	$218.00	$218.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.68 / $79.68 / $79.68	Professional	26	$79.68	$79.68	$79.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.05 / $64.45 / $142.08	Professional	26	$41.05	$64.45	$142.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.42 / $88.33 / $268.17	Professional	TC	$64.42	$88.33	$268.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.38 / $50.38 / $50.38	Facility	26	$50.38	$50.38	$50.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.92 / $183.73 / $376.53	Professional		$114.92	$183.73	$376.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.01 / $68.00 / $121.55	Professional	26	$46.01	$68.00	$121.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.56 / $117.48 / $256.20	Professional	TC	$66.56	$117.48	$256.20
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $47.22 / $60.00 / $83.82	Facility	26	$47.22	$60.00	$83.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $118.00 / $177.00	Professional		$58.00	$118.00	$177.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $47.22 / $47.22 / $47.22	Professional	26	$47.22	$47.22	$47.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $113.80 / $209.22	Professional		$63.09	$113.80	$209.22
United Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $157.63 / $357.49	Professional		$102.93	$157.63	$357.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.55 / $55.33 / $116.71	Professional	26	$42.55	$55.33	$116.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.86 / $107.62 / $244.77	Professional	TC	$65.86	$107.62	$244.77
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $216.22 / $216.22	Facility	26	$100.00	$216.22	$216.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $944.58 / $944.58 / $982.43	Professional		$944.58	$944.58	$982.43
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $353.25 / $353.25 / $386.24	Professional	26	$353.25	$353.25	$386.24
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $782.04 / $782.04 / $782.04	Professional	TC	$782.04	$782.04	$782.04