Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.86 / $9.19 / $14.46	Facility	26	$7.86	$9.19	$14.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $28.49 / $69.19	Professional		$20.83	$28.49	$69.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.11 / $24.93	Professional	26	$7.59	$8.11	$24.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.94 / $130.24 / $130.24	Professional	50	$52.94	$130.24	$130.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.97 / $19.46 / $40.17	Professional	TC	$12.97	$19.46	$40.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $18.05 / $49.56	Professional		$17.84	$18.05	$49.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.43 / $8.76 / $27.18	Professional	26	$6.43	$8.76	$27.18
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 / $19.28 / $25.57	Professional	26	$13.30	$19.28	$25.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.38 / $39.43 / $57.88	Professional	TC	$27.38	$39.43	$57.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $9.96	Facility	26	$9.96	$9.96	$9.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $43.80 / $73.37	Professional		$26.05	$43.80	$73.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.60 / $24.28	Professional	26	$7.94	$13.60	$24.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.30 / $28.12 / $48.56	Professional	TC	$17.30	$28.12	$48.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.63 / $15.00 / $24.37	Facility	26	$12.63	$15.00	$24.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $26.00 / $38.00	Professional		$12.00	$26.00	$38.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $15.00 / $32.15	Professional	26	$12.63	$15.00	$32.15
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $58.53 / $69.00 / $127.79	Professional	50	$58.53	$69.00	$127.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $27.61 / $47.90	Professional		$11.97	$27.61	$47.90
United Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $37.47 / $68.93	Professional		$26.48	$37.47	$68.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $12.49 / $25.00	Professional	26	$8.50	$12.49	$25.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $24.95 / $47.38	Professional	TC	$17.39	$24.95	$47.38
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 $203.00 / $203.00 / $203.00	Professional		$203.00	$203.00	$203.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $84.21 / $84.21 / $84.21	Professional	26	$84.21	$84.21	$84.21
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $131.33 / $165.00 / $165.00	Professional	TC	$131.33	$165.00	$165.00