Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $14.13 / $30.20	Facility	26	$7.94	$14.13	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $87.10	Professional		$22.91	$30.90	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $32.36	Professional	26	$7.94	$9.77	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $20.42 / $52.48	Professional	TC	$14.13	$20.42	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $7.08 / $7.08	Professional	26	$7.08	$7.08	$7.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $22.91 / $30.90	Professional	26	$13.80	$22.91	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $40.74 / $58.88	Professional	TC	$31.62	$40.74	$58.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.29 / $10.72 / $15.14	Facility	26	$2.29	$10.72	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $48.98 / $79.43	Professional		$27.54	$48.98	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $14.79 / $26.92	Professional	26	$8.71	$14.79	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $32.36 / $54.95	Professional	TC	$17.38	$32.36	$54.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $30.20 / $61.66	Professional		$9.77	$30.20	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $70.79	Professional		$26.92	$38.02	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $22.39	Professional	26	$9.12	$12.02	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $25.12 / $45.71	Professional	TC	$16.60	$25.12	$45.71
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $269.15	Professional		$199.53	$199.53	$269.15
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	26	$234.42	$234.42	$234.42
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $144.54 / $194.98	Professional	TC	$144.54	$144.54	$194.98