Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.42 / $13.63 / $22.48	Facility	26	$8.42	$13.63	$22.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $35.57 / $80.36	Professional		$17.14	$35.57	$80.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $13.63 / $47.00	Professional	26	$7.03	$13.63	$47.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $21.93 / $48.42	Professional	TC	$10.11	$21.93	$48.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $88.04 / $88.04	Professional		$88.04	$88.04	$88.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $16.70 / $30.54	Professional	26	$11.24	$16.70	$30.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $20.05 / $20.05	Professional	TC	$20.05	$20.05	$20.05
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 $12.31 / $17.73 / $24.09	Professional	26	$12.31	$17.73	$24.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $23.97 / $38.53	Professional	TC	$20.39	$23.97	$38.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $38.24 / $93.86	Professional		$22.10	$38.24	$93.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $15.61 / $35.00	Professional	26	$8.80	$15.61	$35.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.86 / $21.86 / $59.70	Professional	TC	$12.86	$21.86	$59.70
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $11.76 / $14.00 / $27.36	Facility	26	$11.76	$14.00	$27.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.00 / $39.00	Professional		$10.00	$11.00	$39.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $11.76 / $14.00 / $55.75	Professional	26	$11.76	$14.00	$55.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $34.79 / $72.94	Professional		$15.37	$34.79	$72.94
United Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $39.58 / $85.91	Professional		$18.39	$39.58	$85.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $15.76 / $31.19	Professional	26	$7.87	$15.76	$31.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.01 / $23.59 / $54.82	Professional	TC	$10.01	$23.59	$54.82
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $100.00 / $100.00	Facility	26	$35.32	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $753.15 / $753.15 / $753.15	Professional		$753.15	$753.15	$753.15
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $95.54 / $95.54 / $122.10	Professional	26	$95.54	$95.54	$122.10
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $738.76 / $738.76 / $738.76	Professional	TC	$738.76	$738.76	$738.76