Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.54 / $9.11 / $13.89	Facility	26	$7.54	$9.11	$13.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $38.49 / $107.25	Professional		$30.51	$38.49	$107.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.29 / $8.25 / $24.28	Professional	26	$7.29	$8.25	$24.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.24 / $39.24 / $59.06	Professional	50	$39.24	$39.24	$59.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.71 / $67.12	Professional	TC	$22.26	$27.71	$67.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $54.25 / $54.25	Professional		$29.57	$54.25	$54.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.23 / $9.26 / $17.53	Professional	26	$6.23	$9.26	$17.53
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.89 / $28.89 / $28.89	Professional	TC	$28.89	$28.89	$28.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Professional		$22.22	$22.22	$22.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $19.55 / $24.72	Professional	26	$13.30	$19.55	$24.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.73 / $43.49 / $68.13	Professional	TC	$29.73	$43.49	$68.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $52.64 / $93.50	Professional		$29.59	$52.64	$93.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $14.09 / $23.87	Professional	26	$8.02	$14.09	$23.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.56 / $38.65 / $74.45	Professional	TC	$20.56	$38.65	$74.45
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $13.14 / $15.00 / $25.46	Facility	26	$13.14	$15.00	$25.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $34.00 / $51.00	Professional		$11.00	$34.00	$51.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $13.14 / $13.14 / $15.00	Professional	26	$13.14	$13.14	$15.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $63.77 / $78.00 / $216.27	Professional	50	$63.77	$78.00	$216.27
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $113.31 / $113.31 / $113.31	Professional	TC	$113.31	$113.31	$113.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $40.27 / $69.25	Professional		$8.83	$40.27	$69.25
United Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $47.50 / $89.64	Professional		$30.60	$47.50	$89.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $12.51 / $24.37	Professional	26	$8.55	$12.51	$24.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.82 / $35.59 / $74.91	Professional	TC	$20.82	$35.59	$74.91
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 $260.95 / $260.95 / $337.88	Professional		$260.95	$260.95	$337.88
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $67.95 / $83.63 / $83.63	Professional	26	$67.95	$83.63	$83.63
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $207.72 / $207.72 / $269.93	Professional	TC	$207.72	$207.72	$269.93