Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.47 / $14.27 / $21.81	Facility	26	$12.47	$14.27	$21.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $40.92 / $111.32	Professional		$36.88	$40.92	$111.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $12.47 / $36.09	Professional	26	$11.50	$12.47	$36.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $28.52 / $61.81	Professional	TC	$25.37	$28.52	$61.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $36.52 / $36.52	Professional		$36.52	$36.52	$36.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $13.92 / $29.00	Professional	26	$10.31	$13.92	$29.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $33.60 / $33.60	Professional		$33.60	$33.60	$33.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.71 / $29.41 / $40.46	Professional	26	$20.71	$29.41	$40.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.16 / $54.25 / $72.93	Professional	TC	$44.16	$54.25	$72.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.80 / $15.80 / $15.80	Facility	26	$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $64.08 / $109.53	Professional		$40.34	$64.08	$109.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $21.41 / $36.83	Professional	26	$12.59	$21.41	$36.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.79 / $42.61 / $72.64	Professional	TC	$25.79	$42.61	$72.64
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $18.00 / $22.00 / $39.03	Facility	26	$18.00	$22.00	$39.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $30.00 / $54.45	Professional		$17.00	$30.00	$54.45
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.00 / $50.97	Professional	26	$19.05	$22.00	$50.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $39.57 / $70.98	Professional		$17.21	$39.57	$70.98
United Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $57.21 / $103.79	Professional		$39.01	$57.21	$103.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.23 / $19.14 / $35.71	Professional	26	$13.23	$19.14	$35.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.73 / $35.47 / $68.15	Professional	TC	$24.73	$35.47	$68.15
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $41.72 / $100.00 / $100.00	Facility	26	$41.72	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $282.23 / $282.23 / $365.85	Professional		$282.23	$282.23	$365.85
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $100.72 / $100.72 / $110.03	Professional	26	$100.72	$100.72	$110.03
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $254.00 / $254.00 / $255.75	Professional	TC	$254.00	$254.00	$255.75