Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.01 / $20.91 / $35.27	Facility	26	$20.01	$20.91	$35.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $53.95 / $96.73	Professional		$29.85	$53.95	$96.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $20.91 / $31.67	Professional	26	$19.50	$20.91	$31.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $30.85 / $40.42	Professional	TC	$10.31	$30.85	$40.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $69.34 / $69.34	Professional		$69.34	$69.34	$69.34
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 $19.13 / $33.97 / $67.36	Professional	26	$19.13	$33.97	$67.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.64 / $28.37 / $47.08	Professional	TC	$15.64	$28.37	$47.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.51 / $23.51 / $23.51	Facility	26	$23.51	$23.51	$23.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $61.26 / $107.71	Professional		$36.54	$61.26	$107.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.09 / $32.49 / $56.41	Professional	26	$23.09	$32.49	$56.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.51 / $26.51 / $61.80	Professional	TC	$11.51	$26.51	$61.80
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $22.35 / $24.77 / $45.91	Facility	26	$22.35	$24.77	$45.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $29.00 / $43.00	Professional		$14.00	$29.00	$43.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $9.80 / $9.80 / $9.80	Professional	TC	$9.80	$9.80	$9.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $49.04 / $83.32	Professional		$31.46	$49.04	$83.32
United Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $46.82 / $88.30	Professional		$29.61	$46.82	$88.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.03 / $24.62 / $48.98	Professional	26	$19.03	$24.62	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.94 / $19.48 / $42.41	Professional	TC	$8.94	$19.48	$42.41
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $48.04 / $80.00 / $100.32	Facility	26	$48.04	$80.00	$100.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $355.02 / $355.02 / $434.33	Professional		$355.02	$355.02	$434.33
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $132.09 / $132.09 / $164.40	Professional	26	$132.09	$132.09	$164.40
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $222.93 / $222.93 / $269.93	Professional	TC	$222.93	$222.93	$269.93