Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.88 / $8.80 / $13.39	Facility	26	$7.88	$8.80	$13.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $28.37 / $132.09	Professional		$25.85	$28.37	$132.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $7.88 / $23.27	Professional	26	$7.33	$7.88	$23.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $50.68 / $50.68 / $59.24	Professional	50	$50.68	$50.68	$59.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $20.49 / $49.16	Professional	TC	$18.53	$20.49	$49.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $79.33 / $79.33	Professional		$32.31	$79.33	$79.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $12.20 / $26.00	Professional	26	$8.15	$12.20	$26.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $21.65 / $21.65	Professional		$21.65	$21.65	$21.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.49 / $18.63 / $23.65	Professional	26	$12.49	$18.63	$23.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.61 / $36.49 / $53.06	Professional	TC	$25.61	$36.49	$53.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $43.46 / $76.12	Professional		$26.40	$43.46	$76.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $13.26 / $23.01	Professional	26	$7.93	$13.26	$23.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.26 / $31.04 / $55.77	Professional	TC	$17.26	$31.04	$55.77
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.29 / $15.00 / $22.96	Facility	26	$12.29	$15.00	$22.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $24.00 / $40.00	Professional		$11.00	$24.00	$40.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $15.00 / $32.24	Professional	26	$12.29	$15.00	$32.24
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $57.27 / $60.00 / $173.99	Professional	50	$57.27	$60.00	$173.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $30.43 / $55.30	Professional		$8.83	$30.43	$55.30
United Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $39.47 / $74.26	Professional		$25.67	$39.47	$74.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $11.80 / $23.16	Professional	26	$8.22	$11.80	$23.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $27.07 / $52.31	Professional	TC	$17.92	$27.07	$52.31
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $27.00 / $100.00 / $100.00	Facility	26	$27.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $208.77 / $208.77 / $278.02	Professional		$208.77	$208.77	$278.02
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $82.56 / $82.56 / $82.56	Professional	26	$82.56	$82.56	$82.56
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $153.47 / $153.47 / $207.68	Professional	TC	$153.47	$153.47	$207.68