Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.80 / $9.65 / $15.16	Facility	26	$8.80	$9.65	$15.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $19.26 / $50.69	Professional		$15.70	$19.26	$50.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $9.14 / $19.13	Professional	26	$8.69	$9.14	$19.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.90 / $8.23 / $17.46	Professional	TC	$6.90	$8.23	$17.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.09 / $13.63 / $20.36	Professional	26	$10.09	$13.63	$20.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $23.19 / $26.20	Professional		$23.19	$23.19	$26.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.72 / $22.53 / $30.82	Professional	26	$15.72	$22.53	$30.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $25.46 / $41.54	Professional	TC	$19.57	$25.46	$41.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $36.72 / $57.84	Professional		$20.05	$36.72	$57.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $16.38 / $28.34	Professional	26	$9.51	$16.38	$28.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.01 / $18.98 / $34.39	Professional	TC	$9.01	$18.98	$34.39
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $14.87 / $17.00 / $29.56	Facility	26	$14.87	$17.00	$29.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $14.00 / $26.00	Professional		$12.00	$14.00	$26.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $14.87 / $17.00 / $35.95	Professional	26	$14.87	$17.00	$35.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $26.90 / $46.80	Professional		$12.35	$26.90	$46.80
United Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $30.15 / $50.88	Professional		$18.52	$30.15	$50.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.08 / $13.95 / $28.26	Professional	26	$10.08	$13.95	$28.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.01 / $15.18 / $23.76	Professional	TC	$8.01	$15.18	$23.76
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $29.45 / $100.00 / $100.00	Facility	26	$29.45	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $186.44 / $206.87 / $206.87	Professional		$186.44	$206.87	$206.87
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $105.66 / $105.66 / $105.66	Professional	26	$105.66	$105.66	$105.66
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $133.46 / $133.46 / $133.46	Professional	TC	$133.46	$133.46	$133.46