Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $13.80 / $39.81	Facility	26	$11.48	$13.80	$39.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $42.66 / $380.19	Facility	TC	$25.70	$42.66	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $151.36	Professional		$32.36	$42.66	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $16.98 / $45.71	Professional	26	$10.47	$16.98	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $67.61	Professional	TC	$20.89	$28.18	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $36.31	Professional		$23.99	$32.36	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.02 / $22.39	Professional	26	$9.55	$12.02	$22.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $27.54 / $31.62	Professional	TC	$21.88	$27.54	$31.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $29.51 / $38.90	Professional	26	$20.89	$29.51	$38.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $48.98 / $69.18	Professional	TC	$38.02	$48.98	$69.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $20.89	Facility	26	$3.09	$14.45	$20.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.92 / $32.36 / $46.77	Facility	TC	$6.92	$32.36	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $60.26 / $107.15	Professional		$34.67	$60.26	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.50 / $34.67	Professional	26	$10.96	$19.50	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $39.81 / $70.79	Professional	TC	$23.99	$39.81	$70.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $38.90 / $70.79	Professional		$12.88	$38.90	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $89.13	Professional		$37.15	$48.98	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.98 / $28.84	Professional	26	$12.88	$16.98	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $32.36 / $58.88	Professional	TC	$23.44	$32.36	$58.88
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Facility	26	$81.28	$81.28	$81.28
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	TC	$194.98	$194.98	$194.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $354.81	Professional		$275.42	$275.42	$354.81
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $102.33	Professional	26	$81.28	$81.28	$102.33
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $194.98 / $257.04	Professional	TC	$194.98	$194.98	$257.04