Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.16 / $18.03 / $27.86	Facility	26	$12.16	$18.03	$27.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.13 / $42.11 / $368.53	Facility	TC	$27.13	$42.11	$368.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $42.67 / $108.78	Professional		$38.28	$42.67	$108.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.97 / $14.49 / $42.64	Professional	26	$11.97	$14.49	$42.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.59 / $28.17 / $63.45	Professional	TC	$26.59	$28.17	$63.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $33.29 / $43.51	Professional		$33.15	$33.29	$43.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $10.05 / $11.33	Professional	26	$10.05	$10.05	$11.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $41.88 / $41.88	Professional		$41.88	$41.88	$41.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.14 / $37.01 / $49.22	Professional	26	$25.14	$37.01	$49.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.10 / $60.32 / $81.17	Professional	TC	$50.10	$60.32	$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 Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $72.58 / $120.26	Professional		$44.88	$72.58	$120.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.73 / $25.14 / $43.91	Professional	26	$14.73	$25.14	$43.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.37 / $47.33 / $78.75	Professional	TC	$29.37	$47.33	$78.75
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.75 / $28.00 / $43.93	Facility	26	$23.75	$28.00	$43.93
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $35.07 / $50.46 / $82.01	Facility	TC	$35.07	$50.46	$82.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $35.00 / $58.00	Professional		$22.00	$35.00	$58.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $23.75 / $28.00 / $49.72	Professional	26	$23.75	$28.00	$49.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $61.00 / $88.90	Professional		$20.14	$61.00	$88.90
United Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $60.58 / $112.86	Professional		$42.20	$60.58	$112.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.41 / $22.23 / $40.26	Professional	26	$14.41	$22.23	$40.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.79 / $39.04 / $74.09	Professional	TC	$27.79	$39.04	$74.09
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $49.08 / $100.00 / $100.00	Facility	26	$49.08	$100.00	$100.00
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $73.63 / $171.67 / $171.67	Facility	TC	$73.63	$171.67	$171.67
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $314.00 / $314.00 / $374.55	Professional		$314.00	$314.00	$374.55
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $107.32 / $107.32 / $107.48	Professional	26	$107.32	$107.32	$107.48
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $267.08 / $296.00 / $296.00	Professional	TC	$267.08	$296.00	$296.00