Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.88 / $9.52 / $14.50	Facility	26	$7.88	$9.52	$14.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $33.57 / $75.65	Professional		$29.87	$33.57	$75.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $7.92 / $21.38	Professional	26	$7.59	$7.92	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $25.69 / $53.78	Professional	TC	$21.94	$25.69	$53.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $37.81 / $37.81	Professional		$37.81	$37.81	$37.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.54 / $16.26 / $18.29	Professional	26	$11.54	$16.26	$18.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.19 / $35.19 / $35.19	Professional	TC	$35.19	$35.19	$35.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $22.60 / $22.60	Professional		$22.60	$22.60	$22.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.84 / $19.57 / $25.60	Professional	26	$13.84	$19.57	$25.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.72 / $43.80 / $64.27	Professional	TC	$30.72	$43.80	$64.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $50.61 / $91.40	Professional		$29.99	$50.61	$91.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $13.96 / $24.35	Professional	26	$8.31	$13.96	$24.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.92 / $37.32 / $68.84	Professional	TC	$20.92	$37.32	$68.84
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.81 / $15.00 / $26.56	Facility	26	$12.81	$15.00	$26.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $30.00 / $41.70	Professional		$12.00	$30.00	$41.70
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $12.81 / $15.00	Professional	26	$12.81	$12.81	$15.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $105.03 / $105.03 / $105.03	Professional	TC	$105.03	$105.03	$105.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $43.55 / $76.20	Professional		$13.03	$43.55	$76.20
United Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $43.80 / $87.43	Professional		$29.04	$43.80	$87.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $11.81 / $22.65	Professional	26	$8.90	$11.81	$22.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.81 / $33.11 / $63.67	Professional	TC	$20.81	$33.11	$63.67
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $100.00 / $100.00	Facility	26	$24.54	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $293.00 / $326.10	Professional		$293.00	$293.00	$326.10
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $55.28 / $55.28 / $70.34	Professional	26	$55.28	$55.28	$70.34
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $255.75 / $283.00 / $283.00	Professional	TC	$255.75	$283.00	$283.00