Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.42 / $11.75 / $20.13	Facility	26	$9.42	$11.75	$20.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $36.26 / $114.34	Professional		$32.13	$36.26	$114.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $10.60 / $30.28	Professional	26	$9.26	$10.60	$30.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $27.69 / $71.89	Professional	TC	$23.38	$27.69	$71.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $36.94 / $36.94	Professional		$27.94	$36.94	$36.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $19.46 / $21.89	Professional	26	$7.79	$19.46	$21.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.93 / $28.93 / $58.75	Professional	TC	$28.93	$28.93	$58.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $30.88 / $30.88	Professional		$30.88	$30.88	$30.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.75 / $26.86 / $35.57	Professional	26	$18.75	$26.86	$35.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.48 / $52.49 / $71.91	Professional	TC	$43.48	$52.49	$71.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $60.79 / $98.71	Professional		$37.90	$60.79	$98.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $18.52 / $32.22	Professional	26	$11.28	$18.52	$32.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.45 / $41.25 / $67.67	Professional	TC	$25.45	$41.25	$67.67
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $17.51 / $21.00 / $33.44	Facility	26	$17.51	$21.00	$33.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $31.00 / $49.00	Professional		$16.00	$31.00	$49.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $17.51 / $21.00	Professional	26	$17.51	$17.51	$21.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $96.78 / $96.78 / $96.78	Professional	TC	$96.78	$96.78	$96.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $53.90 / $85.20	Professional		$36.60	$53.90	$85.20
United Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $49.06 / $96.64	Professional		$35.00	$49.06	$96.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $16.41 / $29.41	Professional	26	$11.23	$16.41	$29.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.77 / $34.36 / $65.40	Professional	TC	$23.77	$34.36	$65.40
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 $262.00 / $262.00 / $316.64	Professional		$262.00	$262.00	$316.64
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $107.32 / $107.32 / $107.32	Professional	26	$107.32	$107.32	$107.32
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $233.18 / $249.00 / $249.00	Professional	TC	$233.18	$249.00	$249.00