Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.77 / $9.99 / $16.67	Facility	26	$8.77	$9.99	$16.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $28.11 / $68.44	Professional		$26.66	$28.11	$68.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $8.77 / $21.76	Professional	26	$8.39	$8.77	$21.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.93 / $19.32 / $41.81	Professional	TC	$17.93	$19.32	$41.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $8.23 / $10.78	Professional	26	$7.36	$8.23	$10.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $23.52 / $23.52	Professional		$23.52	$23.52	$23.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.55 / $20.73 / $28.44	Professional	26	$14.55	$20.73	$28.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.86 / $40.47 / $56.02	Professional	TC	$33.86	$40.47	$56.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $10.79	Facility	26	$10.79	$10.79	$10.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $47.43 / $79.81	Professional		$30.04	$47.43	$79.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $15.39 / $26.71	Professional	26	$8.86	$15.39	$26.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $32.22 / $53.58	Professional	TC	$19.80	$32.22	$53.58
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $13.35 / $16.00 / $27.67	Facility	26	$13.35	$16.00	$27.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $24.00 / $39.72	Professional		$13.00	$24.00	$39.72
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $16.00 / $35.88	Professional	26	$13.35	$16.00	$35.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $45.00 / $66.73	Professional		$19.14	$45.00	$66.73
United Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $41.51 / $76.13	Professional		$28.96	$41.51	$76.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $13.41 / $25.43	Professional	26	$9.31	$13.41	$25.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.10 / $27.67 / $49.95	Professional	TC	$19.10	$27.67	$49.95
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $100.00 / $100.00	Facility	26	$24.54	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $206.60 / $206.60 / $269.25	Professional		$206.60	$206.60	$269.25
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $78.44 / $78.44 / $78.59	Professional	26	$78.44	$78.44	$78.59
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $190.73 / $193.00 / $193.00	Professional	TC	$190.73	$193.00	$193.00