Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.16 / $14.84 / $24.52	Facility	26	$14.16	$14.84	$24.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $43.94 / $56.23	Professional		$26.23	$43.94	$56.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $14.84 / $24.89	Professional	26	$13.52	$14.84	$24.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $29.35 / $43.82	Professional	TC	$12.47	$29.35	$43.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.65 / $23.65 / $26.38	Professional	26	$23.65	$23.65	$26.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.51 / $24.06 / $46.82	Professional	26	$13.51	$24.06	$46.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.59 / $27.28 / $47.08	Professional	TC	$21.59	$27.28	$47.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $16.55 / $16.55	Facility	26	$16.55	$16.55	$16.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $52.76 / $93.01	Professional		$31.12	$52.76	$93.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $22.87 / $39.21	Professional	26	$16.39	$22.87	$39.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.46 / $28.91 / $59.76	Professional	TC	$13.46	$28.91	$59.76
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.50 / $17.53 / $32.42	Facility	26	$15.50	$17.53	$32.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $22.34 / $38.00	Professional		$18.00	$22.34	$38.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $12.00 / $12.00 / $12.00	Professional	TC	$12.00	$12.00	$12.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $45.96 / $70.23	Professional		$22.22	$45.96	$70.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $38.90 / $81.06	Professional		$25.39	$38.90	$81.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.37 / $17.73 / $38.11	Professional	26	$13.37	$17.73	$38.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.01 / $20.19 / $41.82	Professional	TC	$11.01	$20.19	$41.82
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $33.90 / $71.11 / $80.00	Facility	26	$33.90	$71.11	$80.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $306.10 / $306.10 / $371.25	Professional		$306.10	$306.10	$371.25
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $93.99 / $93.99 / $115.50	Professional	26	$93.99	$93.99	$115.50
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $212.11 / $212.11 / $255.75	Professional	TC	$212.11	$212.11	$255.75