Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $8.57 / $13.59	Facility	26	$8.08	$8.57	$13.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $36.85 / $79.81	Professional		$25.43	$36.85	$79.81
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $47.07 / $47.07	Professional	25	$37.15	$47.07	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.72 / $23.42	Professional	26	$7.59	$8.72	$23.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $22.85 / $41.34	Professional	TC	$17.62	$22.85	$41.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $42.94 / $58.93	Professional		$22.42	$42.94	$58.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $11.50 / $14.68	Professional	26	$7.60	$11.50	$14.68
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.72 / $34.72 / $44.28	Professional	TC	$34.72	$34.72	$44.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $70.00 / $468.00	Professional		$20.80	$70.00	$468.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $15.77 / $24.21	Professional	26	$7.51	$15.77	$24.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.29 / $36.31 / $69.59	Professional	TC	$17.29	$36.31	$69.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $45.02 / $76.29	Professional		$32.04	$45.02	$76.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $11.92 / $20.97	Professional	26	$8.22	$11.92	$20.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.95 / $33.08 / $59.74	Professional	TC	$22.95	$33.08	$59.74
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $8.65 / $11.00 / $14.88	Facility	26	$8.65	$11.00	$14.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $34.00 / $76.50	Professional		$11.00	$34.00	$76.50
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $8.65 / $8.65	Professional	26	$8.65	$8.65	$8.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $28.43 / $49.80	Professional		$10.30	$28.43	$49.80
United Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $37.89 / $70.58	Professional		$28.79	$37.89	$70.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.16 / $9.19 / $16.44	Professional	26	$7.16	$9.19	$16.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.55 / $28.37 / $50.02	Professional	TC	$21.55	$28.37	$50.02
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $18.87 / $100.00 / $100.00	Facility	26	$18.87	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $132.09 / $132.09 / $132.09	Professional	26	$132.09	$132.09	$132.09
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $139.38 / $139.38 / $165.23	Professional	TC	$139.38	$139.38	$165.23