Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.42 / $11.74 / $17.87	Facility	26	$9.42	$11.74	$17.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $37.67 / $110.69	Professional		$34.22	$37.67	$110.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $9.42 / $23.80	Professional	26	$8.93	$9.42	$23.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.82 / $26.85 / $63.24	Professional	TC	$24.82	$26.85	$63.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $19.55 / $19.55	Professional	26	$7.89	$19.55	$19.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $27.20 / $27.20	Professional		$27.20	$27.20	$27.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.32 / $23.39 / $31.58	Professional	26	$16.32	$23.39	$31.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.96 / $52.28 / $71.91	Professional	TC	$40.96	$52.28	$71.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.44 / $101.25	Professional		$37.15	$60.44	$101.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $17.02 / $29.79	Professional	26	$9.78	$17.02	$29.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.77 / $42.20 / $72.63	Professional	TC	$25.77	$42.20	$72.63
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.93 / $18.00 / $28.78	Facility	26	$15.93	$18.00	$28.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $30.00 / $50.31	Professional		$14.00	$30.00	$50.31
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $18.00 / $38.53	Professional	26	$15.93	$18.00	$38.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $51.30 / $81.80	Professional		$35.40	$51.30	$81.80
United Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $49.06 / $94.72	Professional		$35.72	$49.06	$94.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.64 / $14.48 / $29.29	Professional	26	$10.64	$14.48	$29.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $34.59 / $65.43	Professional	TC	$24.75	$34.59	$65.43
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $29.45 / $100.00 / $100.00	Facility	26	$29.45	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $267.27 / $267.27 / $344.93	Professional		$267.27	$267.27	$344.93
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $85.85 / $85.85 / $85.85	Professional	26	$85.85	$85.85	$85.85
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $244.00 / $244.00 / $261.45	Professional	TC	$244.00	$244.00	$261.45