Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $86.04 / $221.36	Facility		$10.07	$86.04	$221.36
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.93 / $9.57 / $15.54	Facility	26	$6.93	$9.57	$15.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $13.12 / $30.31	Professional		$9.90	$13.12	$30.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.89 / $8.25 / $13.83	Professional	26	$6.89	$8.25	$13.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $12.27	Professional	50	$11.36	$11.36	$12.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.08 / $3.89 / $6.50	Professional	TC	$3.08	$3.89	$6.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $7.04 / $7.04	Professional		$7.04	$7.04	$7.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $23.40 / $23.40	Professional		$23.40	$23.40	$23.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.14 / $14.45 / $23.49	Professional	26	$7.14	$14.45	$23.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.21 / $4.99 / $11.06	Professional	TC	$3.21	$4.99	$11.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $12.68 / $29.52	Facility		$5.24	$12.68	$29.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $18.32 / $33.03	Professional		$11.85	$18.32	$33.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $13.26 / $23.74	Professional	26	$8.27	$13.26	$23.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.61 / $5.35 / $10.29	Professional	TC	$2.61	$5.35	$10.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $18.64 / $27.48	Facility		$10.07	$18.64	$27.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.58 / $14.82 / $21.60	Facility	26	$12.58	$14.82	$21.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $15.00 / $41.18	Professional		$7.00	$15.00	$41.18
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $28.34 / $28.34 / $28.34	Professional	26	$28.34	$28.34	$28.34
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $27.98 / $52.50 / $61.77	Professional	50	$27.98	$52.50	$61.77
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $4.55 / $5.36 / $5.36	Professional	TC	$4.55	$5.36	$5.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $18.70 / $30.20	Professional		$12.70	$18.70	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $15.94 / $31.90	Professional		$10.90	$15.94	$31.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $11.13 / $21.29	Professional	26	$8.01	$11.13	$21.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.05 / $4.92 / $9.73	Professional	TC	$3.05	$4.92	$9.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $25.79 / $80.00 / $80.00	Facility		$25.79	$80.00	$80.00
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $17.60 / $100.00 / $100.00	Facility	26	$17.60	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,428.44 / $1,428.44 / $1,428.44	Professional		$1,428.44	$1,428.44	$1,428.44
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $1,274.28 / $1,274.28 / $1,274.28	Professional	26	$1,274.28	$1,274.28	$1,274.28
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $988.10 / $988.10 / $988.10	Professional	TC	$988.10	$988.10	$988.10