Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $12.30 / $36.31	Facility	26	$8.13	$12.30	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $114.82	Professional		$23.99	$43.65	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.75 / $35.48	Professional	26	$7.08	$11.75	$35.48
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $33.88 / $54.95	Professional	52	$30.20	$33.88	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.12 / $75.86	Professional	TC	$15.14	$25.12	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $54.95	Professional		$20.42	$20.42	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.18 / $18.62	Professional	26	$7.94	$13.18	$18.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $31.62 / $31.62	Professional	TC	$31.62	$31.62	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $23.44 / $29.51	Professional	26	$13.49	$23.44	$29.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $47.86 / $72.44	Professional	TC	$32.36	$47.86	$72.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $10.23 / $14.79	Facility	26	$2.19	$10.23	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $50.12 / $83.18	Professional		$29.51	$50.12	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $14.45 / $25.70	Professional	26	$8.13	$14.45	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $34.67 / $58.88	Professional	TC	$19.05	$34.67	$58.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	26	$17.78	$17.78	$17.78
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 $9.77 / $29.51 / $67.61	Professional		$9.77	$29.51	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $74.13	Professional		$30.20	$41.69	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.02 / $21.88	Professional	26	$9.33	$12.02	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $52.48	Professional	TC	$20.89	$28.84	$52.48
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 $213.80 / $213.80 / $245.47	Professional		$213.80	$213.80	$245.47
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	26	$79.43	$79.43	$79.43
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $204.17 / $204.17	Professional	TC	$169.82	$204.17	$204.17