Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $9.12 / $13.49	Facility	26	$8.71	$9.12	$13.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $162.18	Professional		$50.12	$64.57	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $33.11	Professional	26	$7.94	$10.00	$33.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.13 / $8.32 / $39.81	Professional	52	$8.13	$8.32	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $52.48 / $102.33	Professional	TC	$42.66	$52.48	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $97.72	Professional		$45.71	$60.26	$97.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.22 / $16.22	Professional	26	$7.76	$11.22	$16.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $75.86 / $89.13	Professional	TC	$54.95	$75.86	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $79.43	Professional		$70.79	$70.79	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.75 / $28.18	Professional	26	$9.12	$11.75	$28.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $66.07 / $138.04	Professional	TC	$48.98	$66.07	$138.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $134.90	Professional		$57.54	$81.28	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.88 / $22.39	Professional	26	$9.12	$12.88	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $67.61 / $114.82	Professional	TC	$47.86	$67.61	$114.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $63.10 / $125.89	Professional		$10.23	$63.10	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $100.00	Professional		$45.71	$61.66	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.00 / $16.22	Professional	26	$7.76	$10.00	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $51.29 / $83.18	Professional	TC	$38.02	$51.29	$83.18
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $85.11	Facility	26	$79.43	$79.43	$85.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $467.74	Professional		$371.54	$371.54	$467.74
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $70.79	Professional	26	$54.95	$54.95	$70.79
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $316.23 / $407.38	Professional	TC	$316.23	$316.23	$407.38