Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.50 / $10.63 / $16.18	Facility	26	$8.50	$10.63	$16.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $34.22 / $128.80	Professional		$28.91	$34.22	$128.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $9.02 / $26.97	Professional	26	$8.17	$9.02	$26.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $23.10 / $57.40	Professional	TC	$20.39	$23.10	$57.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $28.83 / $28.83	Professional		$28.83	$28.83	$28.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $7.02 / $8.80	Professional	26	$6.98	$7.02	$8.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.00 / $32.00 / $37.79	Professional	TC	$32.00	$32.00	$37.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $63.91 / $63.91	Professional		$63.91	$63.91	$63.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.68 / $21.82 / $28.59	Professional	26	$15.68	$21.82	$28.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.46 / $43.72 / $59.10	Professional	TC	$36.46	$43.72	$59.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $50.55 / $83.46	Professional		$30.93	$50.55	$83.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $15.02 / $27.17	Professional	26	$9.41	$15.02	$27.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.52 / $34.28 / $57.89	Professional	TC	$21.52	$34.28	$57.89
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $14.37 / $17.00 / $29.00	Facility	26	$14.37	$17.00	$29.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $24.00 / $43.00	Professional		$13.00	$24.00	$43.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $14.37 / $17.00 / $34.78	Professional	26	$14.37	$17.00	$34.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $41.13 / $59.60	Professional		$14.07	$41.13	$59.60
United Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $43.82 / $80.56	Professional		$30.31	$43.82	$80.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $13.16 / $24.74	Professional	26	$9.94	$13.16	$24.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $28.92 / $54.10	Professional	TC	$20.47	$28.92	$54.10
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $100.00 / $100.00	Facility	26	$24.54	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $217.42 / $217.42 / $280.35	Professional		$217.42	$217.42	$280.35
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $72.64 / $72.64 / $75.53	Professional	26	$72.64	$72.64	$75.53
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $199.00 / $199.00 / $204.83	Professional	TC	$199.00	$199.00	$204.83