Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.14 / $11.74 / $22.01	Facility	26	$10.14	$11.74	$22.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $60.30 / $126.83	Professional		$35.90	$60.30	$126.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $90.40 / $90.40 / $90.40	Professional	25	$90.40	$90.40	$90.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $13.92 / $42.64	Professional	26	$9.61	$13.92	$42.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $35.43 / $58.88	Professional	TC	$27.26	$35.43	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $51.68 / $87.45	Professional		$31.95	$51.68	$87.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $16.50 / $20.25	Professional	26	$9.56	$16.50	$20.25
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.36 / $59.39 / $75.70	Professional	TC	$26.36	$59.39	$75.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $70.00 / $585.00	Professional		$38.20	$70.00	$585.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $22.12 / $43.14	Professional	26	$9.43	$22.12	$43.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.97 / $55.25 / $118.94	Professional	TC	$25.97	$55.25	$118.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.60 / $11.60 / $11.60	Facility	26	$11.60	$11.60	$11.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $74.43 / $130.74	Professional		$48.61	$74.43	$130.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $18.91 / $33.21	Professional	26	$11.79	$18.91	$33.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.49 / $54.53 / $101.55	Professional	TC	$36.49	$54.53	$101.55
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $20.00 / $22.63	Facility	26	$15.41	$20.00	$22.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $54.00 / $93.50	Professional		$14.00	$54.00	$93.50
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $15.52 / $15.52	Professional	26	$15.52	$15.52	$15.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $42.70 / $73.61	Professional		$12.71	$42.70	$73.61
United Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $63.28 / $111.41	Professional		$48.07	$63.28	$111.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $15.35 / $27.17	Professional	26	$11.64	$15.35	$27.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.40 / $48.55 / $83.79	Professional	TC	$36.40	$48.55	$83.79
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $23.82 / $100.00 / $100.00	Facility	26	$23.82	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $632.00 / $632.00 / $632.00	Professional		$632.00	$632.00	$632.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $229.91 / $229.91 / $229.91	Professional	26	$229.91	$229.91	$229.91
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $247.28 / $266.13 / $266.13	Professional	TC	$247.28	$266.13	$266.13