Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.89 / $22.92 / $36.65	Facility	26	$17.89	$22.92	$36.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $47.09 / $87.02	Professional		$36.57	$47.09	$87.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.79 / $20.26 / $30.53	Professional	26	$16.79	$20.26	$30.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.41 / $31.40 / $53.05	Professional	TC	$16.41	$31.40	$53.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $60.76 / $70.16	Professional		$57.00	$60.76	$70.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $27.00 / $27.00	Professional	26	$27.00	$27.00	$27.00
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 $16.38 / $34.40 / $60.35	Professional	26	$16.38	$34.40	$60.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.47 / $35.99 / $45.97	Professional	TC	$27.47	$35.99	$45.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.05 / $20.05 / $20.05	Facility	26	$20.05	$20.05	$20.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $61.67 / $110.07	Professional		$45.10	$61.67	$110.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.45 / $32.86 / $53.89	Professional	26	$21.45	$32.86	$53.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.44 / $30.70 / $59.76	Professional	TC	$18.44	$30.70	$59.76
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $28.02 / $28.37	Facility	26	$24.55	$28.02	$28.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $34.78 / $51.00	Professional		$22.00	$34.78	$51.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $24.55 / $24.55	Professional	26	$24.55	$24.55	$24.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $47.46 / $76.23	Professional		$26.94	$47.46	$76.23
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.23 / $85.77	Professional		$34.67	$46.23	$85.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.00 / $24.07 / $48.58	Professional	26	$17.00	$24.07	$48.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.87 / $23.10 / $48.14	Professional	TC	$13.87	$23.10	$48.14
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $41.24 / $80.00 / $98.31	Facility	26	$41.24	$80.00	$98.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $351.65 / $351.65 / $400.65	Professional		$351.65	$351.65	$400.65
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $131.37 / $131.37 / $139.19	Professional	26	$131.37	$131.37	$139.19
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $214.27 / $214.27 / $261.45	Professional	TC	$214.27	$214.27	$261.45