Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.16 / $13.15 / $22.38	Facility	26	$12.16	$13.15	$22.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $42.47 / $132.82	Professional		$39.97	$42.47	$132.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.69 / $12.16 / $35.19	Professional	26	$11.69	$12.16	$35.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.86 / $30.31 / $80.14	Professional	TC	$27.86	$30.31	$80.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $12.57 / $20.74	Professional	26	$7.07	$12.57	$20.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $34.52 / $34.52	Professional		$34.52	$34.52	$34.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.21 / $30.20 / $40.51	Professional	26	$21.21	$30.20	$40.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.56 / $59.49 / $81.17	Professional	TC	$39.56	$59.49	$81.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $69.95 / $118.72	Professional		$43.00	$69.95	$118.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $21.84 / $37.57	Professional	26	$12.76	$21.84	$37.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.82 / $47.37 / $81.52	Professional	TC	$28.82	$47.37	$81.52
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $20.09 / $24.00 / $40.15	Facility	26	$20.09	$24.00	$40.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $35.00 / $61.00	Professional		$18.00	$35.00	$61.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $20.09 / $24.00 / $49.72	Professional	26	$20.09	$24.00	$49.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $52.10 / $77.92	Professional		$17.91	$52.10	$77.92
United Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $62.45 / $110.86	Professional		$41.87	$62.45	$110.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.63 / $18.66 / $35.25	Professional	26	$13.63	$18.66	$35.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.62 / $42.33 / $74.19	Professional	TC	$28.62	$42.33	$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 $400.05 / $438.00 / $438.00	Professional		$400.05	$438.00	$438.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $97.41 / $97.41 / $107.48	Professional	26	$97.41	$97.41	$107.48
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $292.58 / $423.00 / $423.00	Professional	TC	$292.58	$423.00	$423.00