Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.39 / $15.80 / $15.80	Facility	26	$14.39	$15.80	$15.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $78.68 / $144.84	Professional		$67.37	$78.68	$144.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $19.80 / $30.05	Professional	26	$14.36	$19.80	$30.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.01 / $58.87 / $114.80	Professional	TC	$53.01	$58.87	$114.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $53.12 / $53.12	Professional		$53.12	$53.12	$53.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.31 / $39.31 / $48.19	Professional	26	$39.31	$39.31	$48.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.53 / $41.01 / $51.66	Professional	26	$16.53	$41.01	$51.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $69.45 / $95.10	Professional	TC	$37.11	$69.45	$95.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $51.95 / $156.32	Professional		$40.83	$51.95	$156.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.34 / $18.89 / $39.26	Professional	26	$10.34	$18.89	$39.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.14 / $36.75 / $117.92	Professional	TC	$29.14	$36.75	$117.92
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $32.03 / $38.00 / $47.74	Facility	26	$32.03	$38.00	$47.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Professional		$36.00	$36.00	$36.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $50.08 / $160.81	Professional		$11.94	$50.08	$160.81
United Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $73.55 / $147.78	Professional		$50.72	$73.55	$147.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $20.79 / $38.27	Professional	26	$12.81	$20.79	$38.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.21 / $51.18 / $113.13	Professional	TC	$37.21	$51.18	$113.13
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $626.79 / $626.79 / $719.55	Professional		$626.79	$626.79	$719.55
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $171.71 / $171.71 / $171.71	Professional	26	$171.71	$171.71	$171.71
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $496.32 / $496.32 / $565.28	Professional	TC	$496.32	$496.32	$565.28