Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.57 / $9.14 / $13.92	Facility	26	$7.57	$9.14	$13.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $30.02 / $87.82	Professional		$27.45	$30.02	$87.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $7.63 / $19.47	Professional	26	$7.30	$7.63	$19.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.16 / $21.54 / $63.01	Professional	TC	$20.16	$21.54	$63.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.26 / $6.26 / $16.96	Professional	26	$6.26	$6.26	$16.96
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $17.60 / $17.60	Professional	TC	$17.60	$17.60	$17.60
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 $12.72 / $18.62 / $24.59	Professional	26	$12.72	$18.62	$24.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.65 / $45.15 / $60.06	Professional	TC	$34.65	$45.15	$60.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $47.79 / $79.95	Professional		$30.63	$47.79	$79.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $13.18 / $23.38	Professional	26	$7.58	$13.18	$23.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.78 / $34.63 / $56.97	Professional	TC	$21.78	$34.63	$56.97
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 / $26.00 / $40.17	Professional		$11.00	$26.00	$40.17
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 $29.40 / $43.30 / $68.09	Professional		$29.40	$43.30	$68.09
United Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $40.04 / $77.76	Professional		$29.50	$40.04	$77.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $11.42 / $21.92	Professional	26	$8.25	$11.42	$21.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.74 / $28.46 / $54.94	Professional	TC	$20.74	$28.46	$54.94
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 $208.83 / $208.83 / $272.63	Professional		$208.83	$208.83	$272.63
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $66.04 / $66.04 / $67.73	Professional	26	$66.04	$66.04	$67.73
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $188.00 / $188.00 / $204.83	Professional	TC	$188.00	$188.00	$204.83