Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.75 / $6.21 / $10.56	Facility	26	$5.75	$6.21	$10.56
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.62 / $71.51 / $311.08	Facility	TC	$19.62	$71.51	$311.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $36.96 / $92.02	Professional		$22.84	$36.96	$92.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $6.45 / $23.20	Professional	26	$5.53	$6.45	$23.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.62 / $26.19 / $65.68	Professional	TC	$19.62	$26.19	$65.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $21.64 / $39.29	Professional		$21.45	$21.64	$39.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.73 / $8.39 / $16.10	Professional	26	$4.73	$8.39	$16.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.37 / $22.37 / $27.40	Professional	TC	$22.37	$22.37	$27.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $13.93 / $18.64	Professional	26	$9.64	$13.93	$18.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.61 / $40.50 / $58.87	Professional	TC	$25.61	$40.50	$58.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $7.31 / $7.31	Facility	26	$7.31	$7.31	$7.31
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.73 / $25.73 / $25.73	Facility	TC	$25.73	$25.73	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $39.90 / $71.34	Professional		$23.50	$39.90	$71.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.72 / $10.00 / $17.73	Professional	26	$5.72	$10.00	$17.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $31.38 / $54.03	Professional	TC	$17.38	$31.38	$54.03
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $9.18 / $11.00 / $19.71	Facility	26	$9.18	$11.00	$19.71
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $25.71 / $29.18 / $59.24	Facility	TC	$25.71	$29.18	$59.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $26.00 / $37.00	Professional		$8.00	$26.00	$37.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $11.00 / $23.52	Professional	26	$9.18	$11.00	$23.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $28.90 / $49.09	Professional		$6.68	$28.90	$49.09
United Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $37.46 / $70.03	Professional		$24.09	$37.46	$70.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $8.78 / $16.50	Professional	26	$6.45	$8.78	$16.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $27.56 / $54.36	Professional	TC	$18.39	$27.56	$54.36
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $17.18 / $100.00 / $100.00	Facility	26	$17.18	$100.00	$100.00
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $47.96 / $123.98 / $123.98	Facility	TC	$47.96	$123.98	$123.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $187.25 / $187.25 / $245.33	Professional		$187.25	$187.25	$245.33
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $54.49 / $54.49 / $54.49	Professional	26	$54.49	$54.49	$54.49
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $146.99 / $146.99 / $193.58	Professional	TC	$146.99	$146.99	$193.58