Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.17 / $27.88 / $27.88	Facility	26	$23.17	$27.88	$27.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $49.07 / $95.54	Professional		$42.16	$49.07	$95.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $30.50 / $78.34	Professional	26	$25.55	$30.50	$78.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $19.67 / $37.99	Professional	TC	$13.18	$19.67	$37.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Professional		$56.40	$56.40	$56.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.78 / $35.79 / $35.82	Professional	26	$35.78	$35.79	$35.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.18 / $52.75 / $66.45	Professional	26	$29.18	$52.75	$66.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.71 / $22.43 / $44.12	Professional	TC	$17.71	$22.43	$44.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $50.74 / $94.27	Professional		$24.32	$50.74	$94.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.66 / $27.55 / $58.12	Professional	26	$14.66	$27.55	$58.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.48 / $14.61 / $31.05	Professional	TC	$8.48	$14.61	$31.05
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.28 / $41.00 / $84.00	Facility	26	$28.28	$41.00	$84.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $33.65 / $109.11	Professional		$13.59	$33.65	$109.11
United Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $52.20 / $85.53	Professional		$31.03	$52.20	$85.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $31.90 / $56.30	Professional	26	$19.73	$31.90	$56.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.84 / $16.89 / $33.13	Professional	TC	$10.84	$16.89	$33.13
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $172.05 / $172.05 / $172.05	Facility	26	$172.05	$172.05	$172.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $473.28 / $473.28 / $473.28	Professional		$473.28	$473.28	$473.28
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $346.00 / $346.00 / $346.00	Professional	26	$346.00	$346.00	$346.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $330.22 / $330.22 / $330.22	Professional	TC	$330.22	$330.22	$330.22