Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $11.36 / $18.07	Facility	26	$10.00	$11.36	$18.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $42.36 / $89.40	Professional		$35.65	$42.36	$89.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $10.93 / $33.81	Professional	26	$9.75	$10.93	$33.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.13 / $29.95 / $62.94	Professional	TC	$25.13	$29.95	$62.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $13.77 / $22.60	Professional	26	$9.03	$13.77	$22.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $26.25 / $26.25	Professional		$26.25	$26.25	$26.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.77 / $23.28 / $30.57	Professional	26	$15.77	$23.28	$30.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.74 / $55.22 / $77.59	Professional	TC	$38.74	$55.22	$77.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.86 / $13.86 / $13.86	Facility	26	$13.86	$13.86	$13.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $62.95 / $103.51	Professional		$36.70	$62.95	$103.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.38 / $17.76 / $29.74	Professional	26	$10.38	$17.76	$29.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.29 / $43.79 / $71.72	Professional	TC	$25.29	$43.79	$71.72
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.74 / $18.00 / $31.41	Facility	26	$15.74	$18.00	$31.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $34.00 / $53.64	Professional		$14.00	$34.00	$53.64
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $15.74 / $18.00 / $44.71	Professional	26	$15.74	$18.00	$44.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $41.27 / $71.20	Professional		$13.30	$41.27	$71.20
United Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $49.49 / $101.59	Professional		$37.03	$49.49	$101.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $16.02 / $28.38	Professional	26	$10.50	$16.02	$28.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.12 / $36.03 / $70.68	Professional	TC	$26.12	$36.03	$70.68
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 $271.52 / $271.52 / $352.65	Professional		$271.52	$271.52	$352.65
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $97.41 / $97.41 / $97.41	Professional	26	$97.41	$97.41	$97.41
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $210.00 / $210.00 / $255.75	Professional	TC	$210.00	$210.00	$255.75