Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.97 / $2.98 / $6.08	Facility	26	$2.97	$2.98	$6.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $17.38 / $30.74	Professional		$14.25	$17.38	$30.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.61 / $3.57 / $6.00	Professional	26	$2.61	$3.57	$6.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.26 / $13.91 / $23.10	Professional	TC	$11.26	$13.91	$23.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $42.39 / $42.39	Professional		$42.39	$42.39	$42.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.52 / $2.52 / $2.69	Professional	26	$2.52	$2.52	$2.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $70.00	Professional		$11.00	$11.00	$70.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.43 / $9.80 / $17.23	Professional	26	$2.43	$9.80	$17.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.00 / $22.07 / $50.56	Professional	TC	$11.00	$22.07	$50.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $28.33 / $53.49	Professional		$18.91	$28.33	$53.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.59 / $6.76 / $11.67	Professional	26	$3.59	$6.76	$11.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.84 / $21.73 / $42.54	Professional	TC	$14.84	$21.73	$42.54
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $4.25 / $7.00 / $8.30	Facility	26	$4.25	$7.00	$8.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $21.00 / $34.00	Professional		$4.00	$21.00	$34.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $5.60 / $5.60 / $5.60	Professional	26	$5.60	$5.60	$5.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $16.71 / $27.70	Professional		$3.65	$16.71	$27.70
United Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $25.01 / $44.07	Professional		$18.53	$25.01	$44.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.08 / $5.72 / $10.14	Professional	26	$4.08	$5.72	$10.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.44 / $19.14 / $34.58	Professional	TC	$14.44	$19.14	$34.58
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $7.22 / $100.00 / $100.00	Facility	26	$7.22	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $161.00 / $161.00	Professional		$161.00	$161.00	$161.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $33.02 / $54.00 / $54.00	Professional	26	$33.02	$54.00	$54.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $129.00 / $129.00 / $129.00	Professional	TC	$129.00	$129.00	$129.00