Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.43 / $6.43 / $23.21	Facility	26	$6.43	$6.43	$23.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.82 / $6.62 / $37.96	Professional	26	$5.82	$6.62	$37.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.47 / $20.53 / $85.60	Professional	TC	$18.47	$20.53	$85.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.92 / $31.92 / $31.92	Professional	26	$31.92	$31.92	$31.92
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 $68.42 / $95.79 / $236.16	Professional	TC	$68.42	$95.79	$236.16
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 $84.89 / $121.01 / $201.71	Professional	TC	$84.89	$121.01	$201.71
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.08 / $27.15 / $30.69	Facility	26	$23.08	$27.15	$30.69
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 $67.06 / $73.37 / $117.00	Professional	TC	$67.06	$73.37	$117.00
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 $393.12 / $650.17 / $650.17	Professional	TC	$393.12	$650.17	$650.17