Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.78 / $12.36	Facility	26	$7.08	$7.78	$12.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $32.90 / $121.17	Professional		$23.87	$32.90	$121.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.56 / $8.16 / $30.61	Professional	26	$6.56	$8.16	$30.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $20.46 / $38.15	Professional	TC	$16.64	$20.46	$38.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $36.70 / $46.08	Professional		$28.78	$36.70	$46.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.31 / $12.85	Professional	26	$8.32	$9.31	$12.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.74 / $24.74 / $31.54	Professional	TC	$24.74	$24.74	$31.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $19.80 / $19.80	Professional		$19.80	$19.80	$19.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $17.03 / $22.11	Professional	26	$10.71	$17.03	$22.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $53.46 / $73.13	Professional	TC	$32.22	$53.46	$73.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $49.73 / $81.09	Professional		$29.34	$49.73	$81.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $11.71 / $19.41	Professional	26	$7.99	$11.71	$19.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $37.59 / $63.62	Professional	TC	$21.00	$37.59	$63.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $8.61 / $13.00 / $18.77	Facility	26	$8.61	$13.00	$18.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $30.89 / $91.04	Professional		$9.00	$30.89	$91.04
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $8.61 / $13.00	Professional	26	$8.61	$8.61	$13.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $64.98 / $64.98 / $64.98	Professional	TC	$64.98	$64.98	$64.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $27.50 / $42.97	Professional		$10.17	$27.50	$42.97
United Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $41.71 / $71.36	Professional		$25.49	$41.71	$71.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $10.11 / $19.62	Professional	26	$7.30	$10.11	$19.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.13 / $31.19 / $51.52	Professional	TC	$18.13	$31.19	$51.52
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $33.83 / $103.69 / $103.69	Facility	26	$33.83	$103.69	$103.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $644.00 / $644.00 / $644.00	Professional		$644.00	$644.00	$644.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $148.60 / $148.60 / $228.88	Professional	26	$148.60	$148.60	$228.88
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $542.00 / $542.00 / $542.00	Professional	TC	$542.00	$542.00	$542.00