Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.35 / $10.64 / $17.32	Facility	26	$10.35	$10.64	$17.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $40.47 / $93.44	Professional		$37.99	$40.47	$93.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.64 / $32.06	Professional	26	$9.41	$10.64	$32.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.76 / $30.98 / $66.63	Professional	TC	$27.76	$30.98	$66.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $31.50 / $31.50	Professional		$31.50	$31.50	$31.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $13.79 / $18.98	Professional	26	$8.65	$13.79	$18.98
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 $51.33 / $64.39 / $86.70	Professional	TC	$51.33	$64.39	$86.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $66.88 / $113.38	Professional		$41.74	$66.88	$113.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $17.73 / $29.79	Professional	26	$10.50	$17.73	$29.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.43 / $49.77 / $84.67	Professional	TC	$31.43	$49.77	$84.67
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $18.00 / $33.00	Facility	26	$15.00	$18.00	$33.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $35.00 / $58.00	Professional		$14.00	$35.00	$58.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $18.00 / $43.53	Professional	26	$15.93	$18.00	$43.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $41.93 / $73.88	Professional		$11.77	$41.93	$73.88
United Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $55.49 / $105.45	Professional		$41.00	$55.49	$105.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $15.16 / $28.42	Professional	26	$10.81	$15.16	$28.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.80 / $40.99 / $77.27	Professional	TC	$28.80	$40.99	$77.27
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $29.45 / $103.00 / $103.00	Facility	26	$29.45	$103.00	$103.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $286.68 / $286.68 / $375.30	Professional		$286.68	$286.68	$375.30
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $107.32 / $107.32 / $107.32	Professional	26	$107.32	$107.32	$107.32
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $267.00 / $267.00 / $281.25	Professional	TC	$267.00	$267.00	$281.25