Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $83.18	Professional		$36.31	$41.69	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.02 / $23.99	Professional	26	$10.96	$12.02	$23.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.84 / $51.29	Professional	TC	$23.99	$28.84	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $45.71 / $58.88	Professional		$42.66	$45.71	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	26	$17.78	$17.78	$17.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $37.15 / $37.15	Professional	TC	$37.15	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $79.43	Professional		$70.79	$70.79	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $13.18 / $38.90	Professional	26	$12.02	$13.18	$38.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $33.11 / $85.11	Professional	TC	$28.84	$33.11	$85.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.95 / $13.80 / $19.50	Facility	26	$2.95	$13.80	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $102.33	Professional		$42.66	$60.26	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.20 / $31.62	Professional	26	$13.18	$18.20	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $42.66 / $70.79	Professional	TC	$29.51	$42.66	$70.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $45.71 / $89.13	Professional		$13.49	$45.71	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $75.86	Professional		$34.67	$45.71	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.45 / $23.99	Professional	26	$10.72	$14.45	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $31.62 / $51.29	Professional	TC	$23.44	$31.62	$51.29
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $85.11	Facility	26	$79.43	$79.43	$85.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $371.54	Professional		$251.19	$251.19	$371.54
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $75.86 / $97.72	Professional	26	$75.86	$75.86	$97.72
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $275.42	Professional	TC	$173.78	$173.78	$275.42