Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.38 / $13.38 / $24.97	Facility	26	$13.38	$13.38	$24.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.12 / $27.13 / $54.26	Facility	TC	$27.12	$27.13	$54.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $40.51 / $92.99	Professional		$37.95	$40.51	$92.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.15 / $14.44 / $36.34	Professional	26	$13.15	$14.44	$36.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $27.13 / $53.64	Professional	TC	$23.51	$27.13	$53.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.01 / $31.14 / $31.14	Professional	26	$11.01	$31.14	$31.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.52 / $36.11 / $584.21	Professional	26	$24.52	$36.11	$584.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.57 / $50.26 / $69.54	Professional	TC	$39.57	$50.26	$69.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $69.08 / $114.67	Professional		$41.23	$69.08	$114.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $25.32 / $43.18	Professional	26	$16.48	$25.32	$43.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.11 / $43.05 / $73.56	Professional	TC	$25.11	$43.05	$73.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $20.93 / $26.88 / $47.67	Facility	26	$20.93	$26.88	$47.67
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $35.44 / $36.08 / $66.14	Facility	TC	$35.44	$36.08	$66.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $59.00 / $165.67	Professional		$19.00	$59.00	$165.67
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $36.08 / $36.08 / $110.95	Professional	TC	$36.08	$36.08	$110.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $42.06 / $75.08	Professional		$15.39	$42.06	$75.08
United Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $56.09 / $104.94	Professional		$40.15	$56.09	$104.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.77 / $21.44 / $40.18	Professional	26	$15.77	$21.44	$40.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.58 / $36.01 / $67.26	Professional	TC	$24.58	$36.01	$67.26
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $34.97 / $72.72 / $72.72	Facility	26	$34.97	$72.72	$72.72
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $60.70 / $169.86 / $169.86	Facility	TC	$60.70	$169.86	$169.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $297.38 / $382.35 / $382.35	Professional		$297.38	$382.35	$382.35
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $93.99 / $118.05 / $118.05	Professional	26	$93.99	$118.05	$118.05
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $203.39 / $264.23 / $264.23	Professional	TC	$203.39	$264.23	$264.23