Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $59.96 / $74.20	Facility		$36.72	$59.96	$74.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.38 / $17.57 / $17.57	Facility	26	$14.38	$17.57	$17.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $66.20 / $117.93	Professional		$45.32	$66.20	$117.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.96 / $22.22 / $40.79	Professional	26	$16.96	$22.22	$40.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.30 / $43.02 / $83.76	Professional	TC	$27.30	$43.02	$83.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.56 / $22.80 / $60.10	Professional	26	$22.56	$22.80	$60.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $42.09 / $54.12	Professional	26	$18.39	$42.09	$54.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.43 / $38.40 / $69.36	Professional	TC	$25.43	$38.40	$69.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $49.37 / $115.88	Professional		$30.72	$49.37	$115.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $17.55 / $40.67	Professional	26	$10.97	$17.55	$40.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.23 / $24.29 / $73.43	Professional	TC	$17.23	$24.29	$73.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.81 / $65.00 / $136.00	Facility		$53.81	$65.00	$136.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $26.11 / $38.00 / $63.98	Facility	26	$26.11	$38.00	$63.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $31.50 / $31.50	Professional		$31.50	$31.50	$31.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $44.45 / $117.15	Professional		$13.77	$44.45	$117.15
United Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $60.16 / $112.19	Professional		$35.83	$60.16	$112.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.41 / $21.44 / $46.38	Professional	26	$13.41	$21.44	$46.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.11 / $33.75 / $67.48	Professional	TC	$22.11	$33.75	$67.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $373.45 / $373.45 / $373.45	Facility		$373.45	$373.45	$373.45
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $113.52 / $113.52 / $113.52	Facility	26	$113.52	$113.52	$113.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $407.64 / $407.64 / $585.60	Professional		$407.64	$407.64	$585.60
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $244.00 / $244.00 / $244.00	Professional	26	$244.00	$244.00	$244.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $268.50 / $268.50 / $411.38	Professional	TC	$268.50	$268.50	$411.38