Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.91 / $13.53 / $22.30	Facility	26	$7.91	$13.53	$22.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $53.12 / $109.99	Professional		$37.39	$53.12	$109.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $13.54 / $42.45	Professional	26	$7.33	$13.54	$42.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.96 / $30.27 / $78.90	Professional	TC	$23.96	$30.27	$78.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.65 / $19.37 / $31.37	Professional	26	$11.65	$19.37	$31.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $20.80 / $20.80	Professional		$20.80	$20.80	$20.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.31 / $17.30 / $25.09	Professional	26	$13.31	$17.30	$25.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.50 / $94.99 / $206.92	Professional	TC	$65.50	$94.99	$206.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.93 / $16.93 / $16.93	Facility	26	$16.93	$16.93	$16.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $84.13 / $161.99	Professional		$48.20	$84.13	$161.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $16.43 / $36.61	Professional	26	$9.27	$16.43	$36.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.93 / $66.15 / $143.63	Professional	TC	$30.93	$66.15	$143.63
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.29 / $14.00 / $40.40	Facility	26	$12.29	$14.00	$40.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $48.00 / $59.00	Professional		$11.00	$48.00	$59.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $14.00 / $55.38	Professional	26	$12.29	$14.00	$55.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $99.20 / $115.10	Professional		$73.30	$99.20	$115.10
United Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $73.48 / $125.87	Professional		$40.46	$73.48	$125.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $16.47 / $31.92	Professional	26	$8.25	$16.47	$31.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $52.93 / $96.23	Professional	TC	$25.37	$52.93	$96.23
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $34.79 / $100.00 / $100.00	Facility	26	$34.79	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $403.43 / $479.78 / $479.78	Professional		$403.43	$479.78	$479.78
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $211.35 / $211.35 / $211.35	Professional	26	$211.35	$211.35	$211.35
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $367.89 / $429.40 / $429.40	Professional	TC	$367.89	$429.40	$429.40