Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.16 / $8.82 / $15.04	Facility	26	$8.16	$8.82	$15.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.94 / $28.81 / $279.97	Facility	TC	$19.94	$28.81	$279.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $31.82 / $92.22	Professional		$26.28	$31.82	$92.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $8.83 / $31.99	Professional	26	$8.11	$8.83	$31.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $20.20 / $45.73	Professional	TC	$18.32	$20.20	$45.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $24.88 / $42.37	Professional		$20.55	$24.88	$42.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $11.96 / $18.97	Professional	26	$6.69	$11.96	$18.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $23.48 / $23.48	Professional		$23.48	$23.48	$23.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $21.44 / $26.86	Professional	26	$14.75	$21.44	$26.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.05 / $39.33 / $55.95	Professional	TC	$31.05	$39.33	$55.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.15 / $27.15 / $27.15	Facility	TC	$27.15	$27.15	$27.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $47.29 / $81.34	Professional		$28.90	$47.29	$81.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $14.78 / $25.82	Professional	26	$9.75	$14.78	$25.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.51 / $32.04 / $56.38	Professional	TC	$19.51	$32.04	$56.38
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $14.07 / $14.07 / $23.20	Facility	26	$14.07	$14.07	$23.20
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $26.83 / $30.29 / $64.42	Facility	TC	$26.83	$30.29	$64.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $25.00 / $41.95	Professional		$12.00	$25.00	$41.95
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $14.07 / $14.07	Professional	26	$14.07	$14.07	$14.07
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $82.58 / $82.58 / $82.58	Professional	TC	$82.58	$82.58	$82.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $32.25 / $56.69	Professional		$9.51	$32.25	$56.69
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $38.54 / $73.45	Professional		$28.01	$38.54	$73.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $12.81 / $23.50	Professional	26	$9.25	$12.81	$23.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.42 / $26.85 / $48.82	Professional	TC	$19.42	$26.85	$48.82
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $70.00 / $70.00	Facility	26	$50.00	$70.00	$70.00
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $51.52 / $133.13 / $133.13	Facility	TC	$51.52	$133.13	$133.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $208.77 / $280.80 / $280.80	Professional		$208.77	$280.80	$280.80
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $57.45 / $73.13 / $73.13	Professional	26	$57.45	$73.13	$73.13
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $151.32 / $207.68 / $207.68	Professional	TC	$151.32	$207.68	$207.68