Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.81 / $5.81	Facility	26	$3.06	$3.81	$5.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $38.88 / $114.60	Professional		$21.75	$38.88	$114.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.86 / $3.76 / $12.00	Professional	26	$2.86	$3.76	$12.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.54 / $11.49 / $20.04	Professional	52	$10.54	$11.49	$20.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $31.51 / $82.00	Professional	TC	$18.23	$31.51	$82.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $41.19 / $43.38	Professional		$29.99	$41.19	$43.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.93 / $5.01 / $6.06	Professional	26	$3.93	$5.01	$6.06
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.95 / $27.95 / $35.61	Professional	TC	$27.95	$27.95	$35.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $9.72 / $9.72	Professional		$9.72	$9.72	$9.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.00 / $8.13 / $18.36	Professional	26	$5.00	$8.13	$18.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.55 / $102.95 / $171.56	Professional	TC	$31.55	$102.95	$171.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.49 / $3.49 / $3.49	Facility	26	$3.49	$3.49	$3.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $57.92 / $154.69	Professional		$27.19	$57.92	$154.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.68 / $5.44 / $8.85	Professional	26	$3.68	$5.44	$8.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.03 / $50.84 / $149.16	Professional	TC	$24.03	$50.84	$149.16
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $4.05 / $8.38 / $79.00	Facility	26	$4.05	$8.38	$79.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $32.00 / $84.57	Professional		$4.00	$32.00	$84.57
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $4.05 / $11.26 / $60.00	Professional	26	$4.05	$11.26	$60.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $30.71 / $42.60	Professional		$4.44	$30.71	$42.60
United Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $40.72 / $117.89	Professional		$23.67	$40.72	$117.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.20 / $4.67 / $9.00	Professional	26	$3.20	$4.67	$9.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $35.15 / $111.01	Professional	TC	$20.47	$35.15	$111.01
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $101.15 / $101.15	Facility	26	$100.00	$101.15	$101.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $572.89 / $572.89 / $724.06	Professional		$572.89	$572.89	$724.06
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $175.02 / $175.02 / $289.41	Professional	26	$175.02	$175.02	$289.41
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $680.57 / $680.57 / $680.57	Professional	TC	$680.57	$680.57	$680.57