Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.11 / $11.38 / $17.32	Facility	26	$9.11	$11.38	$17.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $37.67 / $101.97	Professional		$30.46	$37.67	$101.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $10.02 / $28.87	Professional	26	$8.84	$10.02	$28.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.74 / $24.36 / $64.95	Professional	TC	$20.74	$24.36	$64.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $62.96 / $85.67	Professional		$33.25	$62.96	$85.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $15.51 / $21.15	Professional	26	$7.54	$15.51	$21.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $27.78 / $27.78	Professional		$27.78	$27.78	$27.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $23.86 / $31.58	Professional	26	$16.39	$23.86	$31.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.52 / $46.68 / $64.68	Professional	TC	$37.52	$46.68	$64.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $11.56	Facility	26	$11.56	$11.56	$11.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $52.43 / $89.19	Professional		$29.01	$52.43	$89.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $17.14 / $29.79	Professional	26	$9.82	$17.14	$29.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.55 / $36.92 / $61.34	Professional	TC	$22.55	$36.92	$61.34
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $16.26 / $19.00 / $32.07	Facility	26	$16.26	$19.00	$32.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $24.00 / $45.00	Professional		$14.00	$24.00	$45.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $16.26 / $19.00	Professional	26	$16.26	$16.26	$19.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $87.33 / $87.33 / $87.33	Professional	TC	$87.33	$87.33	$87.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $33.04 / $58.98	Professional		$10.41	$33.04	$58.98
United Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $46.19 / $89.59	Professional		$32.63	$46.19	$89.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $15.16 / $29.42	Professional	26	$10.82	$15.16	$29.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.76 / $30.50 / $58.31	Professional	TC	$21.76	$30.50	$58.31
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $100.00 / $100.00	Facility	26	$36.81	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $223.92 / $223.92 / $291.45	Professional		$223.92	$223.92	$291.45
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 $210.53 / $211.00 / $211.00	Professional	TC	$210.53	$211.00	$211.00