Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.87 / $19.88 / $30.86	Facility	26	$19.87	$19.88	$30.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $70.58 / $200.02	Professional		$64.61	$70.58	$200.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $19.88 / $50.00	Professional	26	$17.82	$19.88	$50.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.77 / $50.70 / $95.34	Professional	TC	$47.77	$50.70	$95.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $68.04 / $68.26	Professional		$68.04	$68.04	$68.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.34 / $28.79 / $34.84	Professional	26	$19.34	$28.79	$34.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.41 / $40.29 / $53.79	Professional	26	$26.41	$40.29	$53.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.69 / $118.09 / $145.52	Professional	TC	$68.69	$118.09	$145.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.32 / $23.32 / $23.32	Facility	26	$23.32	$23.32	$23.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $19.67 / $19.80 / $46.46	Facility	26	$19.67	$19.80	$46.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $70.63 / $70.63	Professional		$70.63	$70.63	$70.63
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $50.82 / $50.82 / $50.82	Professional	TC	$50.82	$50.82	$50.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $83.00 / $116.83	Professional		$29.48	$83.00	$116.83
United Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $135.77 / $204.50	Professional		$80.95	$135.77	$204.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.20 / $28.58 / $55.46	Professional	26	$19.20	$28.58	$55.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.43 / $97.63 / $155.03	Professional	TC	$56.43	$97.63	$155.03
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $39.24 / $85.00 / $104.06	Facility	26	$39.24	$85.00	$104.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $468.55 / $636.15 / $636.15	Professional		$468.55	$636.15	$636.15
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $126.27 / $168.23 / $168.23	Professional	26	$126.27	$168.23	$168.23
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $342.28 / $467.93 / $467.93	Professional	TC	$342.28	$467.93	$467.93