Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.57 / $8.25 / $13.92	Facility	26	$7.57	$8.25	$13.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $36.29 / $115.20	Professional		$29.89	$36.29	$115.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.53 / $24.34	Professional	26	$7.33	$8.53	$24.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $26.88 / $72.27	Professional	TC	$22.57	$26.88	$72.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $23.18 / $36.40	Professional		$23.18	$23.18	$36.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.21 / $15.62 / $26.19	Professional	26	$6.21	$15.62	$26.19
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $39.15 / $39.15	Professional	TC	$39.15	$39.15	$39.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $21.65 / $21.65	Professional		$21.65	$21.65	$21.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $18.79 / $24.59	Professional	26	$13.22	$18.79	$24.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.31 / $45.97 / $65.25	Professional	TC	$31.31	$45.97	$65.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $50.13 / $89.55	Professional		$30.25	$50.13	$89.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $13.18 / $23.38	Professional	26	$7.93	$13.18	$23.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.95 / $37.39 / $68.84	Professional	TC	$20.95	$37.39	$68.84
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.29 / $15.00 / $25.84	Facility	26	$12.29	$15.00	$25.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $30.00 / $43.17	Professional		$11.00	$30.00	$43.17
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $15.00 / $30.95	Professional	26	$12.29	$15.00	$30.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $46.20 / $74.00	Professional		$13.47	$46.20	$74.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $44.17 / $84.62	Professional		$29.01	$44.17	$84.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $11.42 / $21.75	Professional	26	$8.50	$11.42	$21.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.87 / $34.47 / $66.64	Professional	TC	$20.87	$34.47	$66.64
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 $245.68 / $245.68 / $317.85	Professional		$245.68	$245.68	$317.85
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $61.09 / $61.09 / $67.73	Professional	26	$61.09	$61.09	$67.73
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $192.57 / $192.57 / $250.13	Professional	TC	$192.57	$192.57	$250.13