Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $17.38 / $40.74	Facility	26	$11.75	$17.38	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $199.53	Professional		$45.71	$77.62	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $22.91 / $52.48	Professional	26	$10.96	$22.91	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $51.29 / $104.71	Professional	TC	$32.36	$51.29	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $89.13	Professional		$33.11	$43.65	$89.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $13.18 / $25.12	Professional	26	$9.77	$13.18	$25.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $41.69 / $67.61	Professional	TC	$30.90	$41.69	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $34.67 / $44.67	Professional	26	$19.95	$34.67	$44.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $63.10 / $93.33	Professional	TC	$50.12	$63.10	$93.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.16 / $14.79 / $21.38	Facility	26	$3.16	$14.79	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $75.86 / $131.83	Professional		$46.77	$75.86	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $21.88 / $38.02	Professional	26	$11.75	$21.88	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $50.12 / $95.50	Professional	TC	$32.36	$50.12	$95.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	26	$26.92	$26.92	$26.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $52.48 / $109.65	Professional		$14.13	$52.48	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $107.15	Professional		$45.71	$60.26	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $17.78 / $32.36	Professional	26	$13.49	$17.78	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $41.69 / $75.86	Professional	TC	$30.90	$41.69	$75.86
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $457.09	Professional		$346.74	$346.74	$457.09
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Professional	26	$114.82	$114.82	$114.82
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $257.04 / $346.74	Professional	TC	$257.04	$257.04	$346.74