Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $14.45 / $37.15	Facility	26	$9.77	$14.45	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $158.49	Professional		$33.11	$52.48	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.22 / $35.48	Professional	26	$8.91	$16.22	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $36.31 / $89.13	Professional	TC	$23.99	$36.31	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $64.57	Professional		$26.30	$33.11	$64.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.22 / $21.88	Professional	26	$8.32	$11.22	$21.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $51.29	Professional	TC	$21.88	$30.20	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $23.99 / $31.62	Professional	26	$15.14	$23.99	$31.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $66.07 / $93.33	Professional	TC	$44.67	$66.07	$93.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $107.15	Professional		$39.81	$64.57	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.22 / $29.51	Professional	26	$9.55	$16.22	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $46.77 / $79.43	Professional	TC	$27.54	$46.77	$79.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $41.69 / $89.13	Professional		$11.22	$41.69	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $91.20	Professional		$38.02	$51.29	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.49 / $24.55	Professional	26	$10.47	$13.49	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.02 / $64.57	Professional	TC	$26.92	$38.02	$64.57
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $338.84	Professional		$263.03	$263.03	$338.84
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	26	$117.49	$117.49	$117.49
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $208.93 / $257.04	Professional	TC	$208.93	$208.93	$257.04