Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.25 / $8.77 / $13.31	Facility	26	$7.25	$8.77	$13.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $38.90 / $108.91	Professional		$22.67	$38.90	$108.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.77 / $37.75	Professional	26	$7.03	$8.77	$37.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $67.28 / $129.90 / $176.56	Professional	50	$67.28	$129.90	$176.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $23.21 / $64.04	Professional	TC	$18.84	$23.21	$64.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $78.39 / $130.35	Professional		$46.01	$78.39	$130.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.99 / $8.90 / $16.85	Professional	26	$5.99	$8.90	$16.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $26.09 / $52.99	Professional	TC	$18.77	$26.09	$52.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.85 / $19.85	Professional		$19.85	$19.85	$19.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $17.53 / $23.59	Professional	26	$12.09	$17.53	$23.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $40.50 / $53.79	Professional	TC	$29.66	$40.50	$53.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $45.85 / $76.33	Professional		$26.87	$45.85	$76.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $12.71 / $22.42	Professional	26	$7.25	$12.71	$22.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.21 / $32.65 / $57.17	Professional	TC	$19.21	$32.65	$57.17
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.11 / $13.00 / $23.35	Facility	26	$12.11	$13.00	$23.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $24.00 / $37.97	Professional		$11.00	$24.00	$37.97
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $12.11 / $13.00	Professional	26	$12.11	$12.11	$13.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $56.97 / $67.50 / $171.95	Professional	50	$56.97	$67.50	$171.95
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $84.93 / $84.93 / $84.93	Professional	TC	$84.93	$84.93	$84.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $31.45 / $55.40	Professional		$8.36	$31.45	$55.40
United Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $38.42 / $73.31	Professional		$27.13	$38.42	$73.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $10.82 / $21.44	Professional	26	$7.84	$10.82	$21.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $27.23 / $51.45	Professional	TC	$19.39	$27.23	$51.45
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $22.09 / $100.00 / $100.00	Facility	26	$22.09	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $206.66 / $206.66 / $275.70	Professional		$206.66	$206.66	$275.70
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $79.26 / $79.26 / $79.26	Professional	26	$79.26	$79.26	$79.26
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $161.00 / $161.00 / $210.53	Professional	TC	$161.00	$161.00	$210.53