Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.24 / $12.40 / $21.12	Facility	26	$11.24	$12.40	$21.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $41.76 / $159.19	Professional		$35.09	$41.76	$159.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $12.36 / $35.65	Professional	26	$10.81	$12.36	$35.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $25.98 / $67.43	Professional	TC	$23.26	$25.98	$67.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $32.06 / $32.06	Professional		$32.06	$32.06	$32.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $13.86 / $17.22	Professional	26	$10.49	$13.86	$17.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Professional		$33.00	$33.00	$33.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.46 / $30.14 / $37.75	Professional	26	$20.46	$30.14	$37.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.70 / $49.04 / $68.55	Professional	TC	$38.70	$49.04	$68.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $62.04 / $106.27	Professional		$38.01	$62.04	$106.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $20.74 / $35.64	Professional	26	$13.64	$20.74	$35.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.76 / $40.68 / $71.31	Professional	TC	$24.76	$40.68	$71.31
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $19.79 / $19.79 / $32.00	Facility	26	$19.79	$19.79	$32.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $32.00 / $55.00	Professional		$17.00	$32.00	$55.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $19.79 / $19.79 / $19.79	Professional	26	$19.79	$19.79	$19.79
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $106.24 / $106.24 / $106.24	Professional	TC	$106.24	$106.24	$106.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $40.88 / $72.34	Professional		$13.37	$40.88	$72.34
United Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $50.75 / $96.53	Professional		$36.77	$50.75	$96.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $17.69 / $34.29	Professional	26	$13.03	$17.69	$34.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $34.08 / $62.83	Professional	TC	$24.23	$34.08	$62.83
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $70.00 / $70.00	Facility	26	$50.00	$70.00	$70.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $273.64 / $360.90 / $360.90	Professional		$273.64	$360.90	$360.90
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $78.91 / $99.45 / $99.45	Professional	26	$78.91	$99.45	$99.45
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $194.73 / $261.45 / $261.45	Professional	TC	$194.73	$261.45	$261.45