Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.89 / $33.90 / $50.48	Facility	26	$33.89	$33.90	$50.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $103.88 / $342.00	Professional		$64.31	$103.88	$342.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.06 / $33.90 / $71.70	Professional	26	$31.06	$33.90	$71.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $67.28 / $83.90	Professional	TC	$33.03	$67.28	$83.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $107.30 / $111.12	Professional		$107.30	$107.30	$111.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.34 / $47.34 / $47.34	Professional	26	$47.34	$47.34	$47.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $107.80 / $107.80	Professional		$105.00	$107.80	$107.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.55 / $49.53 / $106.36	Professional	26	$31.55	$49.53	$106.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.44 / $66.79 / $142.87	Professional	TC	$21.44	$66.79	$142.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.61 / $38.61 / $38.61	Facility	26	$38.61	$38.61	$38.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $109.69 / $239.01	Professional		$57.99	$109.69	$239.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.63 / $50.52 / $91.36	Professional	26	$33.63	$50.52	$91.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.53 / $66.15 / $152.74	Professional	TC	$16.53	$66.15	$152.74
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $34.13 / $43.00 / $61.19	Facility	26	$34.13	$43.00	$61.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $59.00 / $125.00	Professional		$44.00	$59.00	$125.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $34.53 / $34.53 / $34.53	Professional	26	$34.53	$34.53	$34.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $99.88 / $180.59	Professional		$48.87	$99.88	$180.59
United Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $91.20 / $196.07	Professional		$56.16	$91.20	$196.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.65 / $43.19 / $87.19	Professional	26	$31.65	$43.19	$87.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.14 / $55.99 / $133.54	Professional	TC	$18.14	$55.99	$133.54
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $78.13 / $167.77 / $167.77	Facility	26	$78.13	$167.77	$167.77
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $687.40 / $687.40 / $848.78	Professional		$687.40	$687.40	$848.78
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $224.56 / $224.56 / $273.38	Professional	26	$224.56	$224.56	$273.38
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $472.45 / $472.45 / $575.40	Professional	TC	$472.45	$472.45	$575.40