Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.68 / $16.84 / $25.63	Facility	26	$13.68	$16.84	$25.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $48.42 / $136.84	Professional		$42.38	$48.42	$136.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.15 / $15.11 / $44.03	Professional	26	$13.15	$15.11	$44.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.22 / $34.03 / $83.51	Professional	TC	$29.22	$34.03	$83.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $37.39 / $37.39	Professional		$37.13	$37.39	$37.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $25.31 / $48.18	Professional	26	$11.50	$25.31	$48.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $74.56 / $74.56 / $74.56	Professional	TC	$74.56	$74.56	$74.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $34.04 / $45.25	Professional	26	$24.37	$34.04	$45.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.35 / $60.86 / $82.22	Professional	TC	$44.35	$60.86	$82.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $72.86 / $124.42	Professional		$44.23	$72.86	$124.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.59 / $24.54 / $43.25	Professional	26	$14.59	$24.54	$43.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $48.00 / $81.89	Professional	TC	$28.57	$48.00	$81.89
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.19 / $32.54 / $47.63	Facility	26	$23.19	$32.54	$47.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $35.00 / $64.00	Professional		$20.00	$35.00	$64.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $23.19 / $30.00 / $55.97	Professional	26	$23.19	$30.00	$55.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $56.80 / $87.02	Professional		$23.65	$56.80	$87.02
United Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $68.36 / $115.78	Professional		$44.65	$68.36	$115.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.43 / $21.36 / $40.04	Professional	26	$15.43	$21.36	$40.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.88 / $40.61 / $78.63	Professional	TC	$28.88	$40.61	$78.63
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $46.63 / $100.00 / $100.00	Facility	26	$46.63	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $321.19 / $321.19 / $420.00	Professional		$321.19	$321.19	$420.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $128.79 / $128.79 / $128.79	Professional	26	$128.79	$128.79	$128.79
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $254.00 / $254.00 / $295.35	Professional	TC	$254.00	$254.00	$295.35