Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.43 / $10.44 / $20.59	Facility	26	$10.43	$10.44	$20.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $39.02 / $159.00	Professional		$29.67	$39.02	$159.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.53 / $29.84	Professional	26	$9.77	$12.53	$29.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $21.58 / $37.39	Professional	TC	$19.23	$21.58	$37.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $48.87 / $62.29	Professional		$48.87	$48.87	$62.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.79 / $19.17 / $25.20	Professional	26	$17.79	$19.17	$25.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.01 / $32.47 / $41.81	Professional	26	$19.01	$32.47	$41.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.89 / $40.34 / $61.84	Professional	TC	$27.89	$40.34	$61.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.90 / $11.90 / $11.90	Facility	26	$11.90	$11.90	$11.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $52.14 / $89.25	Professional		$34.60	$52.14	$89.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $20.62 / $37.00	Professional	26	$12.48	$20.62	$37.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $31.28 / $52.60	Professional	TC	$20.39	$31.28	$52.60
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $17.09 / $17.20 / $28.64	Facility	26	$17.09	$17.20	$28.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $31.00 / $48.00	Professional		$17.00	$31.00	$48.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $17.20 / $17.20 / $17.20	Professional	26	$17.20	$17.20	$17.20
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $70.77 / $70.77 / $70.77	Professional	TC	$70.77	$70.77	$70.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $82.10 / $82.10	Professional		$82.10	$82.10	$82.10
United Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $46.81 / $86.96	Professional		$32.96	$46.81	$86.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.60 / $18.12 / $31.87	Professional	26	$13.60	$18.12	$31.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.04 / $28.34 / $52.58	Professional	TC	$20.04	$28.34	$52.58
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $70.00 / $70.00	Facility	26	$50.00	$70.00	$70.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $254.63 / $254.63	Professional		$195.66	$254.63	$254.63
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $69.84 / $83.70 / $83.70	Professional	26	$69.84	$83.70	$83.70
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $129.61 / $170.93 / $170.93	Professional	TC	$129.61	$170.93	$170.93