Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.26 / $8.77 / $18.80	Facility	26	$7.26	$8.77	$18.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.18 / $19.23 / $40.45	Facility	TC	$18.18	$19.23	$40.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $25.44 / $66.20	Professional		$24.34	$25.44	$66.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $7.50 / $21.82	Professional	26	$7.00	$7.50	$21.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $18.18 / $40.54	Professional	TC	$17.67	$18.18	$40.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $22.17 / $22.17	Professional		$22.17	$22.17	$22.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.99 / $15.94 / $16.85	Professional	26	$5.99	$15.94	$16.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $20.85 / $20.85	Professional		$20.85	$20.85	$20.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $19.04 / $23.85	Professional	26	$13.11	$19.04	$23.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.98 / $37.25 / $52.72	Professional	TC	$27.98	$37.25	$52.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $42.39 / $74.23	Professional		$26.96	$42.39	$74.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $13.12 / $22.94	Professional	26	$8.65	$13.12	$22.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $30.09 / $51.81	Professional	TC	$18.30	$30.09	$51.81
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.50 / $12.50 / $21.48	Facility	26	$12.50	$12.50	$21.48
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $23.85 / $30.65 / $57.23	Facility	TC	$23.85	$30.65	$57.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $24.00 / $38.00	Professional		$11.00	$24.00	$38.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $12.50 / $29.70	Professional	26	$12.50	$12.50	$29.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $28.98 / $50.34	Professional		$11.37	$28.98	$50.34
United Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $38.97 / $68.93	Professional		$26.63	$38.97	$68.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $11.21 / $20.85	Professional	26	$8.22	$11.21	$20.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.10 / $24.97 / $47.92	Professional	TC	$18.10	$24.97	$47.92
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 $50.00 / $118.47 / $118.47	Facility	TC	$50.00	$118.47	$118.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $250.20 / $250.20	Professional		$187.12	$250.20	$250.20
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $51.02 / $65.18 / $65.18	Professional	26	$51.02	$65.18	$65.18
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $136.11 / $185.03 / $185.03	Professional	TC	$136.11	$185.03	$185.03