Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $17.38 / $47.86	Facility	26	$12.59	$17.38	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $128.82	Professional		$33.88	$47.86	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.05 / $44.67	Professional	26	$10.96	$19.05	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $31.62 / $79.43	Professional	TC	$22.91	$31.62	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $107.15	Professional		$28.18	$32.36	$107.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.88 / $23.99	Professional	26	$10.23	$12.88	$23.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $26.30 / $44.67	Professional	TC	$26.30	$26.30	$44.67
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 $19.50 / $30.90 / $41.69	Professional	26	$19.50	$30.90	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $51.29 / $74.13	Professional	TC	$40.74	$51.29	$74.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.39 / $15.85 / $22.39	Facility	26	$3.39	$15.85	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $107.15	Professional		$38.02	$61.66	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $20.42 / $36.31	Professional	26	$11.75	$20.42	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $40.74 / $72.44	Professional	TC	$24.55	$40.74	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
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 $13.80 / $41.69 / $87.10	Professional		$13.80	$41.69	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $89.13	Professional		$37.15	$50.12	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.98 / $30.90	Professional	26	$12.88	$16.98	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.88 / $58.88	Professional	TC	$23.99	$33.88	$58.88
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 $281.84 / $281.84 / $363.08	Professional		$281.84	$281.84	$363.08
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $100.00 / $109.65	Professional	26	$100.00	$100.00	$109.65
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $251.19 / $257.04	Professional	TC	$251.19	$251.19	$257.04