Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.68 / $16.98 / $25.93	Facility	26	$13.68	$16.98	$25.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $52.88 / $206.73	Professional		$44.72	$52.88	$206.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.29 / $14.39 / $44.03	Professional	26	$13.29	$14.39	$44.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.56 / $38.11 / $88.13	Professional	TC	$31.56	$38.11	$88.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $39.10 / $39.10	Professional		$39.10	$39.10	$39.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $11.96 / $32.36	Professional	26	$11.50	$11.96	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.79 / $34.40 / $46.23	Professional	26	$23.79	$34.40	$46.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.27 / $69.48 / $93.89	Professional	TC	$50.27	$69.48	$93.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.71 / $17.71 / $17.71	Facility	26	$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $79.33 / $131.55	Professional		$48.28	$79.33	$131.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.25 / $24.54 / $43.21	Professional	26	$14.25	$24.54	$43.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.82 / $53.65 / $90.96	Professional	TC	$32.82	$53.65	$90.96
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $22.68 / $27.00 / $45.99	Facility	26	$22.68	$27.00	$45.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $39.00 / $67.00	Professional		$21.00	$39.00	$67.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $22.68 / $22.68 / $27.00	Professional	26	$22.68	$22.68	$27.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $132.22 / $132.22 / $132.22	Professional	TC	$132.22	$132.22	$132.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $47.43 / $84.70	Professional		$19.20	$47.43	$84.70
United Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $64.58 / $126.37	Professional		$48.34	$64.58	$126.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $21.81 / $42.19	Professional	26	$15.61	$21.81	$42.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $45.99 / $84.56	Professional	TC	$32.47	$45.99	$84.56
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $46.63 / $100.00 / $100.00	Facility	26	$46.63	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $338.57 / $338.57 / $439.80	Professional		$338.57	$338.57	$439.80
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $117.24 / $117.24 / $124.65	Professional	26	$117.24	$117.24	$124.65
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $291.00 / $291.00 / $315.14	Professional	TC	$291.00	$291.00	$315.14