Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.22 / $14.22 / $21.83	Facility	26	$14.22	$14.22	$21.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $40.69 / $107.02	Professional		$35.77	$40.69	$107.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $14.80 / $40.11	Professional	26	$13.12	$14.80	$40.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.09 / $24.89 / $35.70	Professional	TC	$22.09	$24.89	$35.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $34.72 / $66.08	Professional		$27.55	$34.72	$66.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.39 / $23.17 / $25.83	Professional	26	$13.39	$23.17	$25.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.17 / $39.17 / $39.17	Professional	TC	$39.17	$39.17	$39.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $23.87 / $23.87	Professional		$23.25	$23.87	$23.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $27.80 / $43.47	Professional	26	$13.24	$27.80	$43.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $27.98 / $62.82	Professional	TC	$22.38	$27.98	$62.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $53.56 / $95.45	Professional		$37.60	$53.56	$95.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.70 / $21.18 / $36.86	Professional	26	$14.70	$21.18	$36.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.74 / $31.97 / $58.50	Professional	TC	$21.74	$31.97	$58.50
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.52 / $20.00 / $22.96	Facility	26	$15.52	$20.00	$22.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $33.00 / $54.00	Professional		$19.00	$33.00	$54.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $15.52 / $15.52	Professional	26	$15.52	$15.52	$15.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $38.25 / $70.92	Professional		$17.30	$38.25	$70.92
United Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.69 / $90.81	Professional		$32.34	$41.69	$90.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $16.09 / $30.44	Professional	26	$12.60	$16.09	$30.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $25.77 / $46.75	Professional	TC	$18.89	$25.77	$46.75
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $33.53 / $100.00 / $100.00	Facility	26	$33.53	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $348.00 / $348.00	Professional		$348.00	$348.00	$348.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $89.60 / $89.60 / $112.43	Professional	26	$89.60	$89.60	$112.43
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $198.00 / $198.00 / $213.38	Professional	TC	$198.00	$198.00	$213.38