Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.28 / $9.14 / $13.92	Facility	26	$7.28	$9.14	$13.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $29.37 / $78.48	Professional		$26.78	$29.37	$78.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $7.33 / $18.19	Professional	26	$7.00	$7.33	$18.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $21.35 / $44.14	Professional	TC	$19.46	$21.35	$44.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $46.74 / $46.74	Professional		$25.10	$46.74	$46.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.26 / $15.26 / $15.26	Professional	26	$15.26	$15.26	$15.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $21.65 / $21.65	Professional		$21.65	$21.65	$21.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $18.79 / $24.59	Professional	26	$13.22	$18.79	$24.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $41.31 / $54.65	Professional	TC	$29.66	$41.31	$54.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $47.29 / $78.48	Professional		$28.00	$47.29	$78.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $13.26 / $23.22	Professional	26	$7.93	$13.26	$23.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $33.03 / $58.08	Professional	TC	$19.57	$33.03	$58.08
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.29 / $15.00 / $22.57	Facility	26	$12.29	$15.00	$22.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $24.00 / $40.00	Professional		$11.00	$24.00	$40.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $15.00 / $29.77	Professional	26	$12.29	$15.00	$29.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $33.03 / $55.34	Professional		$8.83	$33.03	$55.34
United Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $39.15 / $75.03	Professional		$28.27	$39.15	$75.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $11.62 / $21.75	Professional	26	$8.50	$11.62	$21.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.77 / $28.03 / $52.31	Professional	TC	$19.77	$28.03	$52.31
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 $210.99 / $210.99 / $283.88	Professional		$210.99	$210.99	$283.88
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $82.56 / $82.56 / $82.56	Professional	26	$82.56	$82.56	$82.56
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $159.97 / $159.97 / $216.15	Professional	TC	$159.97	$159.97	$216.15