Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.44 / $10.28 / $16.03	Facility	26	$9.44	$10.28	$16.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $30.95 / $275.00	Professional		$22.26	$30.95	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $9.44 / $49.00	Professional	26	$8.77	$9.44	$49.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.81 / $20.63 / $127.60	Professional	TC	$12.81	$20.63	$127.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $23.37 / $38.10	Professional		$19.30	$23.37	$38.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $13.23 / $19.76	Professional	26	$7.00	$13.23	$19.76
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.44 / $16.16 / $16.16	Professional	TC	$14.44	$16.16	$16.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $26.28 / $26.28	Professional		$26.28	$26.28	$26.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.80 / $22.83 / $28.03	Professional	26	$15.80	$22.83	$28.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.65 / $143.38 / $254.81	Professional	TC	$31.65	$143.38	$254.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $5.59 / $5.59 / $5.59	Facility	53	$5.59	$5.59	$5.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $60.95 / $214.63	Professional		$24.53	$60.95	$214.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $15.93 / $26.88	Professional	26	$9.57	$15.93	$26.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.11 / $34.59 / $182.31	Professional	TC	$15.11	$34.59	$182.31
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.69 / $16.34 / $29.03	Facility	26	$12.69	$16.34	$29.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $17.00 / $81.92	Professional		$12.00	$17.00	$81.92
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $14.87 / $14.87 / $14.87	Professional	26	$14.87	$14.87	$14.87
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $47.14 / $47.14 / $58.24	Professional	TC	$47.14	$47.14	$58.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $22.43 / $42.11	Professional		$11.79	$22.43	$42.11
United Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $46.20 / $124.16	Professional		$22.29	$46.20	$124.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $13.35 / $26.63	Professional	26	$9.61	$13.35	$26.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.68 / $26.52 / $111.87	Professional	TC	$12.68	$26.52	$111.87
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $51.68 / $100.00 / $132.00	Facility	26	$51.68	$100.00	$132.00
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $29.10 / $53.18 / $53.18	Facility	53	$29.10	$53.18	$53.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $556.59 / $761.56 / $761.56	Professional		$556.59	$761.56	$761.56
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $132.00 / $132.00 / $132.00	Professional	26	$132.00	$132.00	$132.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $525.26 / $705.08 / $705.08	Professional	TC	$525.26	$705.08	$705.08