Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.24 / $13.95 / $21.18	Facility	26	$11.24	$13.95	$21.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $43.10 / $125.46	Professional		$38.77	$43.10	$125.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $11.89 / $36.15	Professional	26	$10.81	$11.89	$36.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $31.21 / $85.43	Professional	TC	$27.55	$31.21	$85.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.24 / $9.30 / $19.17	Professional	26	$9.24	$9.30	$19.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $32.67 / $32.67	Professional		$32.67	$32.67	$32.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $27.91 / $37.52	Professional	26	$19.48	$27.91	$37.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.79 / $59.49 / $80.84	Professional	TC	$45.79	$59.49	$80.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $68.44 / $115.45	Professional		$41.84	$68.44	$115.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $20.17 / $35.52	Professional	26	$11.66	$20.17	$35.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.82 / $47.37 / $81.42	Professional	TC	$28.82	$47.37	$81.42
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $18.53 / $22.00 / $39.38	Facility	26	$18.53	$22.00	$39.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $35.00 / $56.93	Professional		$17.00	$35.00	$56.93
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $18.53 / $22.00 / $45.96	Professional	26	$18.53	$22.00	$45.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $59.70 / $96.78	Professional		$24.19	$59.70	$96.78
United Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $55.84 / $108.10	Professional		$40.88	$55.84	$108.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $17.23 / $33.90	Professional	26	$12.46	$17.23	$33.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.44 / $39.06 / $74.19	Professional	TC	$28.44	$39.06	$74.19
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $100.00 / $100.00	Facility	26	$34.36	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $306.22 / $392.03	Professional		$306.22	$306.22	$392.03
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $95.76 / $95.76 / $99.45	Professional	26	$95.76	$95.76	$99.45
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $250.00 / $250.00 / $292.58	Professional	TC	$250.00	$250.00	$292.58