Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.73 / $11.38 / $17.32	Facility	26	$9.73	$11.38	$17.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $40.68 / $107.40	Professional		$34.17	$40.68	$107.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.82 / $30.85	Professional	26	$9.41	$10.82	$30.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.53 / $28.31 / $76.06	Professional	TC	$24.53	$28.31	$76.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $56.91 / $95.65	Professional		$29.33	$56.91	$95.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $13.79 / $27.25	Professional	26	$7.99	$13.79	$27.25
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.54 / $25.63 / $30.42	Professional	TC	$20.54	$25.63	$30.42
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 $16.39 / $23.37 / $30.60	Professional	26	$16.39	$23.37	$30.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.25 / $52.42 / $68.98	Professional	TC	$41.25	$52.42	$68.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $56.03 / $98.25	Professional		$32.01	$56.03	$98.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $17.02 / $29.79	Professional	26	$9.88	$17.02	$29.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.33 / $40.61 / $69.56	Professional	TC	$25.33	$40.61	$69.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.93 / $18.00 / $30.17	Facility	26	$15.93	$18.00	$30.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $29.00 / $50.82	Professional		$14.00	$29.00	$50.82
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $15.93 / $18.00	Professional	26	$15.93	$15.93	$18.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $100.32 / $100.32 / $100.32	Professional	TC	$100.32	$100.32	$100.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $36.96 / $65.06	Professional		$10.79	$36.96	$65.06
United Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $52.50 / $94.72	Professional		$35.72	$52.50	$94.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $15.60 / $30.17	Professional	26	$10.81	$15.60	$30.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $32.94 / $65.94	Professional	TC	$24.44	$32.94	$65.94
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $100.00 / $100.00	Facility	26	$34.36	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $252.05 / $252.05 / $330.53	Professional		$252.05	$252.05	$330.53
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $92.47 / $92.47 / $92.47	Professional	26	$92.47	$92.47	$92.47
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $226.00 / $226.00 / $244.43	Professional	TC	$226.00	$226.00	$244.43