Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.33 / $13.08 / $20.07	Facility	26	$10.33	$13.08	$20.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $47.15 / $230.69	Professional		$43.78	$47.15	$230.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $10.61 / $33.21	Professional	26	$9.78	$10.61	$33.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $36.38 / $85.95	Professional	TC	$33.15	$36.38	$85.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $8.65 / $8.65	Professional	26	$8.65	$8.65	$8.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $29.92	Professional		$29.92	$29.92	$29.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.12 / $25.97 / $34.56	Professional	26	$18.12	$25.97	$34.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.12 / $67.64 / $94.12	Professional	TC	$49.12	$67.64	$94.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.10 / $13.10	Facility	26	$13.10	$13.10	$13.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $75.78 / $126.20	Professional		$44.38	$75.78	$126.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.90 / $19.02 / $32.86	Professional	26	$10.90	$19.02	$32.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.44 / $54.90 / $98.01	Professional	TC	$32.44	$54.90	$98.01
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $17.48 / $20.00 / $35.25	Facility	26	$17.48	$20.00	$35.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $44.00 / $62.88	Professional		$16.00	$44.00	$62.88
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $20.00 / $42.25	Professional	26	$17.48	$20.00	$42.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $63.00 / $106.80	Professional		$17.11	$63.00	$106.80
United Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $63.34 / $120.66	Professional		$44.81	$63.34	$120.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $17.13 / $31.91	Professional	26	$11.88	$17.13	$31.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.74 / $49.81 / $90.80	Professional	TC	$32.74	$49.81	$90.80
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 $345.31 / $345.31 / $446.25	Professional		$345.31	$345.31	$446.25
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $142.00 / $142.00 / $142.00	Professional	26	$142.00	$142.00	$142.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $272.83 / $272.83 / $354.75	Professional	TC	$272.83	$272.83	$354.75