Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.96 / $8.03 / $12.24	Facility	26	$6.96	$8.03	$12.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $23.68 / $62.38	Professional		$21.02	$23.68	$62.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $7.00 / $20.67	Professional	26	$6.71	$7.00	$20.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.61 / $14.78 / $33.96	Professional	TC	$13.61	$14.78	$33.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $1.44 / $6.58 / $16.18	Professional	26	$1.44	$6.58	$16.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $18.92 / $18.92	Professional		$18.92	$18.92	$18.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $16.32 / $21.63	Professional	26	$11.47	$16.32	$21.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.47 / $30.67 / $41.94	Professional	TC	$23.47	$30.67	$41.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $34.86 / $61.68	Professional		$20.10	$34.86	$61.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.88 / $12.17 / $21.04	Professional	26	$6.88	$12.17	$21.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.80 / $24.27 / $41.30	Professional	TC	$14.80	$24.27	$41.30
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $11.24 / $13.00 / $23.25	Facility	26	$11.24	$13.00	$23.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.00 / $31.00	Professional		$10.00	$18.00	$31.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $13.00 / $28.52	Professional	26	$11.24	$13.00	$28.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $22.62 / $40.45	Professional		$8.02	$22.62	$40.45
United Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $29.64 / $58.36	Professional		$22.20	$29.64	$58.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $10.19 / $19.13	Professional	26	$7.34	$10.19	$19.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.59 / $21.08 / $38.29	Professional	TC	$14.59	$21.08	$38.29
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 $204.98 / $542.00 / $542.00	Professional		$204.98	$542.00	$542.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $62.74 / $62.74 / $62.74	Professional	26	$62.74	$62.74	$62.74
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $142.65 / $498.00 / $498.00	Professional	TC	$142.65	$498.00	$498.00