Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $16.98 / $43.65	Facility	26	$11.22	$16.98	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $169.82	Professional		$41.69	$74.13	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $24.55 / $53.70	Professional	26	$10.96	$24.55	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $51.29 / $104.71	Professional	TC	$32.36	$51.29	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $85.11	Professional		$33.11	$44.67	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.18 / $23.99	Professional	26	$9.55	$13.18	$23.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.02 / $57.54	Professional	TC	$27.54	$38.02	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $34.67 / $44.67	Professional	26	$19.95	$34.67	$44.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $66.07 / $95.50	Professional	TC	$51.29	$66.07	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $20.89	Facility	26	$3.09	$14.45	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $128.82	Professional		$47.86	$74.13	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $21.88 / $38.02	Professional	26	$11.48	$21.88	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $52.48 / $93.33	Professional	TC	$32.36	$52.48	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	26	$26.92	$26.92	$26.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $53.70 / $109.65	Professional		$13.49	$53.70	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $107.15	Professional		$45.71	$60.26	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $17.38 / $32.36	Professional	26	$12.59	$17.38	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $42.66 / $77.62	Professional	TC	$31.62	$42.66	$77.62
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $436.52	Professional		$331.13	$331.13	$436.52
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $190.55	Professional	26	$120.23	$120.23	$190.55
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $295.12 / $331.13	Professional	TC	$295.12	$295.12	$331.13