Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.85 / $13.12 / $18.48	Facility	26	$11.85	$13.12	$18.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $43.76 / $89.04	Professional		$40.52	$43.76	$89.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.02 / $12.31 / $27.58	Professional	26	$11.02	$12.31	$27.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.00 / $31.11 / $57.68	Professional	TC	$29.00	$31.11	$57.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $41.09 / $71.97	Professional		$37.21	$41.09	$71.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $17.63 / $21.51	Professional	26	$10.84	$17.63	$21.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $37.39 / $37.39 / $41.09	Professional	TC	$37.39	$37.39	$41.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $70.00 / $80.00	Professional		$29.82	$70.00	$80.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.02 / $21.55 / $36.75	Professional	26	$11.02	$21.55	$36.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.92 / $38.83 / $85.30	Professional	TC	$27.92	$38.83	$85.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $63.37 / $107.24	Professional		$45.95	$63.37	$107.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.29 / $18.25 / $31.43	Professional	26	$13.29	$18.25	$31.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.17 / $44.92 / $74.90	Professional	TC	$32.17	$44.92	$74.90
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $13.84 / $18.89 / $31.47	Facility	26	$13.84	$18.89	$31.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $42.02 / $58.00	Professional		$16.00	$42.02	$58.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $33.22 / $33.22 / $33.22	Professional	TC	$33.22	$33.22	$33.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $47.84 / $79.56	Professional		$14.57	$47.84	$79.56
United Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $48.54 / $85.88	Professional		$36.95	$48.54	$85.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.02 / $14.07 / $25.35	Professional	26	$11.02	$14.07	$25.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.41 / $34.22 / $62.24	Professional	TC	$25.41	$34.22	$62.24
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $80.00 / $85.00	Facility	26	$27.92	$80.00	$85.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $277.95 / $377.85	Professional		$277.95	$277.95	$377.85
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $74.58 / $74.58 / $93.83	Professional	26	$74.58	$74.58	$93.83
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $203.39 / $203.39 / $284.02	Professional	TC	$203.39	$203.39	$284.02