Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.71 / $11.74 / $17.87	Facility	26	$9.71	$11.74	$17.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $46.61 / $136.63	Professional		$35.68	$46.61	$136.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $10.19 / $30.79	Professional	26	$9.35	$10.19	$30.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $31.77 / $80.73	Professional	TC	$25.42	$31.77	$80.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $11.55 / $20.55	Professional	26	$7.88	$11.55	$20.55
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 / $23.89 / $31.58	Professional	26	$16.39	$23.89	$31.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.27 / $66.55 / $92.52	Professional	TC	$50.27	$66.55	$92.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $67.81 / $109.04	Professional		$42.93	$67.81	$109.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $17.42 / $30.67	Professional	26	$9.88	$17.42	$30.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.67 / $49.36 / $81.41	Professional	TC	$30.67	$49.36	$81.41
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $16.26 / $19.00 / $29.68	Facility	26	$16.26	$19.00	$29.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $36.00 / $52.00	Professional		$14.00	$36.00	$52.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $19.00 / $39.71	Professional	26	$16.26	$19.00	$39.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $40.01 / $70.45	Professional		$11.09	$40.01	$70.45
United Facility/Professional Professional Modifier Low / Median / High Price $37.69 / $56.56 / $99.89	Professional		$37.69	$56.56	$99.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.88 / $14.33 / $30.00	Professional	26	$10.88	$14.33	$30.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.08 / $41.08 / $71.56	Professional	TC	$27.08	$41.08	$71.56
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $31.90 / $100.00 / $100.00	Facility	26	$31.90	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $264.31 / $264.31 / $342.08	Professional		$264.31	$264.31	$342.08
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $117.24 / $117.24 / $117.24	Professional	26	$117.24	$117.24	$117.24
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $207.78 / $207.78 / $255.75	Professional	TC	$207.78	$207.78	$255.75