Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.55 / $11.55 / $21.05	Facility	26	$11.55	$11.55	$21.05
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.26 / $36.77 / $377.70	Facility	TC	$26.26	$36.77	$377.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $37.82 / $155.62	Professional		$35.22	$37.82	$155.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $12.06 / $35.22	Professional	26	$11.10	$12.06	$35.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $26.27 / $55.69	Professional	TC	$23.17	$26.27	$55.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $41.56 / $41.56	Professional		$41.56	$41.56	$41.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $11.95 / $32.35	Professional	26	$9.46	$11.95	$32.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.49 / $29.63 / $38.52	Professional	26	$21.49	$29.63	$38.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.11 / $49.26 / $68.55	Professional	TC	$39.11	$49.26	$68.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.92 / $33.92 / $33.92	Facility	TC	$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $63.31 / $107.18	Professional		$38.15	$63.31	$107.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $21.31 / $36.50	Professional	26	$14.00	$21.31	$36.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.34 / $42.45 / $71.31	Professional	TC	$24.34	$42.45	$71.31
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $17.64 / $30.11 / $39.44	Facility	26	$17.64	$30.11	$39.44
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $34.77 / $35.56 / $57.33	Facility	TC	$34.77	$35.56	$57.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $55.00 / $154.66	Professional		$16.00	$55.00	$154.66
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $47.25 / $47.25 / $47.25	Professional	26	$47.25	$47.25	$47.25
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $35.56 / $35.56	Professional	TC	$35.56	$35.56	$35.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $39.28 / $70.11	Professional		$12.77	$39.28	$70.11
United Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $52.04 / $97.48	Professional		$37.56	$52.04	$97.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.27 / $18.72 / $33.90	Professional	26	$13.27	$18.72	$33.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.65 / $35.72 / $68.72	Professional	TC	$24.65	$35.72	$68.72
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $30.22 / $70.00 / $70.00	Facility	26	$30.22	$70.00	$70.00
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $58.74 / $164.35 / $164.35	Facility	TC	$58.74	$164.35	$164.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $357.83 / $357.83	Professional		$277.95	$357.83	$357.83
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $81.06 / $102.08 / $102.08	Professional	26	$81.06	$102.08	$102.08
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $196.89 / $255.75 / $255.75	Professional	TC	$196.89	$255.75	$255.75