Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.75 / $10.75 / $10.75	Facility	26	$10.75	$10.75	$10.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.75 / $36.70	Professional	26	$9.16	$10.75	$36.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.48 / $15.12 / $41.15	Professional	TC	$14.48	$15.12	$41.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.70 / $36.70 / $76.76	Professional	26	$36.70	$36.70	$76.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.94 / $32.11 / $78.15	Professional	26	$22.94	$32.11	$78.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.97 / $44.76 / $109.92	Professional	TC	$31.97	$44.76	$109.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	26	$28.15	$28.15	$28.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.02 / $39.60 / $66.56	Professional	26	$28.02	$39.60	$66.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.51 / $56.32 / $93.89	Professional	TC	$39.51	$56.32	$93.89
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.08 / $27.15 / $33.29	Facility	26	$23.08	$27.15	$33.29
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $27.15 / $27.15 / $27.15	Professional	26	$27.15	$27.15	$27.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.19 / $23.61 / $38.72	Professional	26	$22.19	$23.61	$38.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.21 / $34.15 / $54.45	Professional	TC	$31.21	$34.15	$54.45
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $44.82 / $57.75 / $120.22	Facility	26	$44.82	$57.75	$120.22
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $145.16 / $196.13 / $196.13	Professional	26	$145.16	$196.13	$196.13
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $183.70 / $303.83 / $303.83	Professional	TC	$183.70	$303.83	$303.83