Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.55 / $11.55 / $21.70	Facility	26	$11.55	$11.55	$21.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.39 / $36.26 / $273.74	Facility	TC	$25.39	$36.26	$273.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $36.96 / $74.61	Professional		$35.39	$36.96	$74.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $12.58 / $37.54	Professional	26	$11.40	$12.58	$37.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $25.40 / $51.84	Professional	TC	$22.85	$25.40	$51.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $9.74 / $9.80	Professional	26	$9.68	$9.74	$9.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $30.25 / $39.76	Professional	26	$21.31	$30.25	$39.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.40 / $51.44 / $67.59	Professional	TC	$37.40	$51.44	$67.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.79 / $32.79 / $32.79	Facility	TC	$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $63.16 / $105.47	Professional		$38.34	$63.16	$105.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.34 / $22.00 / $37.42	Professional	26	$14.34	$22.00	$37.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.00 / $41.80 / $68.95	Professional	TC	$24.00	$41.80	$68.95
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.30 / $23.31 / $40.44	Facility	26	$15.30	$23.31	$40.44
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $34.28 / $35.07 / $55.79	Facility	TC	$34.28	$35.07	$55.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $54.00 / $151.10	Professional		$17.00	$54.00	$151.10
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $47.25 / $47.25 / $47.25	Professional	26	$47.25	$47.25	$47.25
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $35.07 / $35.07 / $35.07	Professional	TC	$35.07	$35.07	$35.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $38.24 / $69.06	Professional		$13.09	$38.24	$69.06
United Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $57.16 / $97.66	Professional		$37.67	$57.16	$97.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $21.38 / $37.70	Professional	26	$13.71	$21.38	$37.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $32.01 / $61.04	Professional	TC	$24.18	$32.01	$61.04
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $30.85 / $70.00 / $70.00	Facility	26	$30.85	$70.00	$70.00
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $56.78 / $158.84 / $158.84	Facility	TC	$56.78	$158.84	$158.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $271.47 / $352.20 / $352.20	Professional		$271.47	$352.20	$352.20
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $81.06 / $104.93 / $104.93	Professional	26	$81.06	$104.93	$104.93
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $190.40 / $247.28 / $247.28	Professional	TC	$190.40	$247.28	$247.28