Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $13.49 / $33.11	Facility	26	$9.77	$13.49	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $134.90	Professional		$32.36	$57.54	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $16.22 / $31.62	Professional	26	$8.71	$16.22	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $79.43	Professional	TC	$21.88	$36.31	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $95.50	Professional		$28.84	$37.15	$95.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.22 / $17.78	Professional	26	$8.13	$11.22	$17.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $28.18 / $33.88	Professional	TC	$22.39	$28.18	$33.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $21.38 / $26.92	Professional	26	$14.45	$21.38	$26.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $44.67 / $67.61	Professional	TC	$34.67	$44.67	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $93.33	Professional		$32.36	$53.70	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.14 / $26.92	Professional	26	$8.91	$15.14	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $37.15 / $66.07	Professional	TC	$22.91	$37.15	$66.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Professional	26	$16.60	$16.60	$16.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $38.90 / $77.62	Professional		$10.96	$38.90	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $77.62	Professional		$32.36	$42.66	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.30 / $23.44	Professional	26	$9.33	$12.30	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.20 / $54.95	Professional	TC	$22.91	$30.20	$54.95
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $331.13	Professional		$251.19	$251.19	$331.13
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	26	$97.72	$97.72	$97.72
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $181.97 / $245.47	Professional	TC	$181.97	$181.97	$245.47