Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.50 / $10.53 / $16.18	Facility	26	$8.50	$10.53	$16.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $70.59 / $205.59	Professional		$32.17	$70.59	$205.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $9.61 / $27.85	Professional	26	$8.50	$9.61	$27.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.67 / $51.49 / $95.00	Professional	TC	$23.67	$51.49	$95.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $68.51 / $92.26	Professional		$28.52	$68.51	$92.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $10.11 / $19.76	Professional	26	$6.98	$10.11	$19.76
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $36.11 / $40.04	Professional	TC	$22.01	$36.11	$40.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $25.52 / $25.52	Professional		$25.52	$25.52	$25.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.83 / $22.79 / $28.64	Professional	26	$15.83	$22.79	$28.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.29 / $110.16 / $181.11	Professional	TC	$78.29	$110.16	$181.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $95.45 / $203.24	Professional		$43.08	$95.45	$203.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $16.16 / $27.77	Professional	26	$9.75	$16.16	$27.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.06 / $74.20 / $164.32	Professional	TC	$30.06	$74.20	$164.32
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $13.12 / $17.36 / $36.00	Facility	26	$13.12	$17.36	$36.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $38.00 / $54.00	Professional		$13.00	$38.00	$54.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $14.37 / $14.37 / $14.37	Professional	26	$14.37	$14.37	$14.37
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $96.78 / $96.78 / $111.20	Professional	TC	$96.78	$96.78	$111.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $40.35 / $66.98	Professional		$9.84	$40.35	$66.98
United Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $73.04 / $118.46	Professional		$37.64	$73.04	$118.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.60 / $13.28 / $25.28	Professional	26	$9.60	$13.28	$25.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.91 / $56.86 / $126.82	Professional	TC	$28.91	$56.86	$126.82
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $53.19 / $80.00 / $80.00	Facility	26	$53.19	$80.00	$80.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $528.05 / $528.05 / $554.75	Professional		$528.05	$528.05	$554.75
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $97.55 / $97.55 / $97.55	Professional	26	$97.55	$97.55	$97.55
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $477.35 / $477.35 / $506.03	Professional	TC	$477.35	$477.35	$506.03