Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.78 / $28.96 / $42.62	Facility	26	$24.78	$28.96	$42.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $52.97 / $204.00	Professional		$47.10	$52.97	$204.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.82 / $28.96 / $75.25	Professional	26	$25.82	$28.96	$75.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.92 / $22.73 / $57.18	Professional	TC	$19.92	$22.73	$57.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $43.98 / $91.62	Professional		$33.45	$43.98	$91.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $33.97 / $59.94	Professional	26	$21.31	$33.97	$59.94
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.40 / $32.40 / $32.40	Professional	TC	$32.40	$32.40	$32.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.38 / $66.27 / $85.54	Professional	26	$40.38	$66.27	$85.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.75 / $46.70 / $68.38	Professional	TC	$26.75	$46.70	$68.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $25.29	Professional	26	$25.29	$25.29	$25.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $13.99	Professional	TC	$13.99	$13.99	$13.99
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $29.65 / $29.87 / $70.31	Facility	26	$29.65	$29.87	$70.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $53.75 / $189.30	Professional		$20.00	$53.75	$189.30
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $29.87 / $29.87 / $106.57	Professional	26	$29.87	$29.87	$106.57
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $23.88 / $23.88 / $23.88	Professional	TC	$23.88	$23.88	$23.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $40.81 / $74.69	Professional		$15.93	$40.81	$74.69
United Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $82.50 / $141.30	Professional		$53.27	$82.50	$141.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.63 / $43.93 / $78.50	Professional	26	$29.63	$43.93	$78.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.49 / $37.02 / $62.80	Professional	TC	$23.49	$37.02	$62.80
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $141.63 / $141.63	Facility	26	$85.00	$141.63	$141.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $334.42 / $362.25 / $362.25	Professional		$334.42	$362.25	$362.25
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $182.49 / $229.28 / $229.28	Professional	26	$182.49	$229.28	$229.28
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $151.88 / $151.88 / $151.88	Professional	TC	$151.88	$151.88	$151.88