Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.66 / $7.20 / $12.77	Facility	26	$6.66	$7.20	$12.77
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $12.11 / $15.85 / $203.90	Facility	TC	$12.11	$15.85	$203.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $21.22 / $48.31	Professional		$18.38	$21.22	$48.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $7.10 / $21.41	Professional	26	$6.42	$7.10	$21.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $57.86 / $88.40 / $88.40	Professional	50	$57.86	$88.40	$88.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.09 / $14.16 / $31.25	Professional	TC	$12.09	$14.16	$31.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $38.36 / $38.36	Professional		$15.43	$38.36	$38.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.59 / $10.19 / $24.03	Professional	26	$5.59	$10.19	$24.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $18.92 / $18.92	Professional		$18.92	$18.92	$18.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $16.32 / $22.41	Professional	26	$11.47	$16.32	$22.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.38 / $31.77 / $42.90	Professional	TC	$25.38	$31.77	$42.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $8.46 / $8.46	Facility	26	$8.46	$8.46	$8.46
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	TC	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $34.76 / $58.38	Professional		$19.01	$34.76	$58.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.82 / $11.65 / $20.56	Professional	26	$6.82	$11.65	$20.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.83 / $24.30 / $38.72	Professional	TC	$14.83	$24.30	$38.72
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $10.74 / $13.00 / $22.24	Facility	26	$10.74	$13.00	$22.24
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $16.01 / $24.36 / $37.86	Facility	TC	$16.01	$24.36	$37.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.00 / $30.00	Professional		$10.00	$19.00	$30.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $13.00 / $27.23	Professional	26	$10.74	$13.00	$27.23
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $47.42 / $61.50 / $115.09	Professional	50	$47.42	$61.50	$115.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $20.26 / $36.15	Professional		$7.83	$20.26	$36.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $29.11 / $54.88	Professional		$20.57	$29.11	$54.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.65 / $20.05	Professional	26	$7.24	$10.65	$20.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.70 / $20.12 / $34.89	Professional	TC	$12.70	$20.12	$34.89
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $19.63 / $100.00 / $100.00	Facility	26	$19.63	$100.00	$100.00
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $34.36 / $100.00 / $100.00	Facility	TC	$34.36	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $182.55	Professional		$172.00	$172.00	$182.55
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $72.64 / $72.64 / $72.64	Professional	26	$72.64	$72.64	$72.64
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $122.85 / $148.00 / $148.00	Professional	TC	$122.85	$148.00	$148.00