Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.16 / $21.95 / $21.95	Facility	26	$18.16	$21.95	$21.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $57.17 / $141.77	Professional		$48.76	$57.17	$141.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $24.94 / $42.40	Professional	26	$18.30	$24.94	$42.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.38 / $33.59 / $99.38	Professional	TC	$26.38	$33.59	$99.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $34.77 / $34.77	Professional		$34.77	$34.77	$34.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.97 / $42.61 / $59.88	Professional	26	$22.97	$42.61	$59.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.29 / $39.33 / $72.14	Professional	TC	$25.29	$39.33	$72.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $49.54 / $116.07	Professional		$26.20	$49.54	$116.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $21.38 / $48.74	Professional	26	$13.07	$21.38	$48.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.64 / $22.68 / $69.17	Professional	TC	$12.64	$22.68	$69.17
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $26.21 / $38.00 / $62.00	Facility	26	$26.21	$38.00	$62.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $10.94 / $10.94	Professional		$10.94	$10.94	$10.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $47.43 / $130.16	Professional		$17.17	$47.43	$130.16
United Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $66.06 / $111.44	Professional		$38.40	$66.06	$111.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $26.14 / $49.70	Professional	26	$15.93	$26.14	$49.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.48 / $33.77 / $60.63	Professional	TC	$22.48	$33.77	$60.63
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $134.76 / $134.76 / $134.76	Facility	26	$134.76	$134.76	$134.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $424.65 / $424.65 / $668.70	Professional		$424.65	$424.65	$668.70
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $214.00 / $214.00 / $216.60	Professional	26	$214.00	$214.00	$216.60
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $272.93 / $272.93 / $452.18	Professional	TC	$272.93	$272.93	$452.18