Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.87 / $8.80 / $14.04	Facility	26	$7.87	$8.80	$14.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $28.60 / $110.98	Professional		$24.92	$28.60	$110.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.05 / $34.86	Professional	26	$7.33	$9.05	$34.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $22.29 / $58.87	Professional	TC	$17.57	$22.29	$58.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $23.24 / $31.40	Professional		$19.32	$23.24	$31.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.51 / $10.37 / $18.29	Professional	26	$6.51	$10.37	$18.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.23 / $17.23 / $48.67	Professional	TC	$17.23	$17.23	$48.67
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 $13.30 / $18.62 / $23.65	Professional	26	$13.30	$18.62	$23.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.98 / $36.50 / $53.38	Professional	TC	$24.98	$36.50	$53.38
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 $25.54 / $43.03 / $74.87	Professional		$25.54	$43.03	$74.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $13.26 / $23.22	Professional	26	$7.93	$13.26	$23.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $29.24 / $53.41	Professional	TC	$16.64	$29.24	$53.41
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.29 / $15.00 / $26.37	Facility	26	$12.29	$15.00	$26.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $24.00 / $36.65	Professional		$11.00	$24.00	$36.65
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $15.00 / $32.24	Professional	26	$12.29	$15.00	$32.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $35.90 / $60.70	Professional		$13.03	$35.90	$60.70
United Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $38.26 / $73.37	Professional		$25.82	$38.26	$73.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.35 / $11.57 / $21.93	Professional	26	$8.35	$11.57	$21.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $27.10 / $51.42	Professional	TC	$17.28	$27.10	$51.42
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $63.44 / $100.00 / $100.00	Facility	26	$63.44	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $202.27 / $202.27 / $263.85	Professional		$202.27	$202.27	$263.85
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $111.75 / $111.75 / $111.75	Professional	26	$111.75	$111.75	$111.75
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $146.99 / $146.99 / $193.58	Professional	TC	$146.99	$146.99	$193.58