Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $16.22 / $39.81	Facility	26	$11.48	$16.22	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $46.77 / $123.03	Professional		$23.44	$46.77	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.05 / $41.69	Professional	26	$10.96	$19.05	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.11 / $77.62	Professional	TC	$23.99	$33.11	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $54.95	Professional		$25.70	$31.62	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.59 / $24.55	Professional	26	$9.55	$12.59	$24.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $29.51 / $40.74	Professional	TC	$21.88	$29.51	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $30.90 / $38.90	Professional	26	$18.20	$30.90	$38.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $47.86 / $70.79	Professional	TC	$37.15	$47.86	$70.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $20.89	Facility	26	$3.09	$14.45	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $104.71	Professional		$35.48	$58.88	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $19.05 / $33.88	Professional	26	$11.22	$19.05	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $38.02 / $69.18	Professional	TC	$23.44	$38.02	$69.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.44 / $23.44	Professional	26	$23.44	$23.44	$23.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $40.74 / $85.11	Professional		$13.49	$40.74	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $85.11	Professional		$35.48	$47.86	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $16.22 / $28.84	Professional	26	$12.30	$16.22	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $31.62 / $56.23	Professional	TC	$23.44	$31.62	$56.23
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $354.81	Professional		$269.15	$269.15	$354.81
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $102.33	Professional	26	$93.33	$93.33	$102.33
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $229.09 / $251.19	Professional	TC	$229.09	$229.09	$251.19