Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.84 / $11.85 / $18.50	Facility	26	$11.84	$11.85	$18.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $54.53 / $127.21	Professional		$50.17	$54.53	$127.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $13.17 / $48.08	Professional	26	$11.08	$13.17	$48.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.72 / $26.12 / $31.81	Professional	52	$24.72	$26.12	$31.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.86 / $41.70 / $77.70	Professional	TC	$38.86	$41.70	$77.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $76.94 / $89.76	Professional		$50.64	$76.94	$89.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $16.85 / $21.51	Professional	26	$11.16	$16.85	$21.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $49.75 / $53.06 / $70.47	Professional	TC	$49.75	$53.06	$70.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $70.00 / $80.00	Professional		$29.82	$70.00	$80.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.02 / $18.48 / $36.75	Professional	26	$11.02	$18.48	$36.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.27 / $71.31 / $118.11	Professional	TC	$40.27	$71.31	$118.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $79.65 / $133.69	Professional		$57.44	$79.65	$133.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.29 / $18.25 / $31.43	Professional	26	$13.29	$18.25	$31.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.89 / $61.37 / $101.41	Professional	TC	$43.89	$61.37	$101.41
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $13.84 / $18.89 / $31.47	Facility	26	$13.84	$18.89	$31.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $58.00 / $79.72	Professional		$16.00	$58.00	$79.72
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $46.01 / $46.01 / $46.01	Professional	TC	$46.01	$46.01	$46.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $61.44 / $100.31	Professional		$14.73	$61.44	$100.31
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $61.70 / $116.28	Professional		$46.67	$61.70	$116.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.02 / $14.15 / $25.35	Professional	26	$11.02	$14.15	$25.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.59 / $47.38 / $87.45	Professional	TC	$35.59	$47.38	$87.45
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $80.00 / $85.00	Facility	26	$27.92	$80.00	$85.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $346.85 / $346.85 / $478.05	Professional		$346.85	$346.85	$478.05
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $74.58 / $74.58 / $93.83	Professional	26	$74.58	$74.58	$93.83
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $272.27 / $272.27 / $384.23	Professional	TC	$272.27	$272.27	$384.23