Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.69 / $22.00 / $35.38	Facility	26	$21.69	$22.00	$35.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $34.90 / $89.70	Professional		$31.17	$34.90	$89.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.57 / $22.89 / $51.25	Professional	26	$20.57	$22.89	$51.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.34 / $16.28 / $19.59	Professional	52	$15.34	$16.28	$19.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $11.54 / $17.88	Professional	TC	$10.11	$11.54	$17.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $46.36 / $57.26	Professional		$28.89	$46.36	$57.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $35.79 / $43.89	Professional	26	$19.14	$35.79	$43.89
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $8.08 / $8.08 / $8.19	Professional	52	$8.08	$8.08	$8.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.45 / $30.21 / $70.80	Professional	26	$20.45	$30.21	$70.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.30 / $16.05 / $33.65	Professional	TC	$11.30	$16.05	$33.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $49.19 / $85.53	Professional		$36.40	$49.19	$85.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.64 / $33.21 / $58.34	Professional	26	$24.64	$33.21	$58.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.62 / $16.18 / $27.12	Professional	TC	$11.62	$16.18	$27.12
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $25.52 / $34.35 / $58.54	Facility	26	$25.52	$34.35	$58.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $29.60 / $48.00	Professional		$16.00	$29.60	$48.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $12.77 / $12.77 / $12.77	Professional	TC	$12.77	$12.77	$12.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $34.77 / $65.08	Professional		$15.62	$34.77	$65.08
United Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $38.20 / $67.59	Professional		$29.28	$38.20	$67.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.91 / $26.11 / $47.20	Professional	26	$19.91	$26.11	$47.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.52 / $11.91 / $20.86	Professional	TC	$9.52	$11.91	$20.86
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $86.18 / $106.50	Facility	26	$50.00	$86.18	$106.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $209.51 / $283.13 / $283.13	Professional		$209.51	$283.13	$283.13
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $138.46 / $174.45 / $174.45	Professional	26	$138.46	$174.45	$174.45
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $71.05 / $108.68 / $108.68	Professional	TC	$71.05	$108.68	$108.68