Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $17.02 / $17.02	Facility	26	$14.13	$17.02	$17.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.96 / $49.50	Professional		$22.39	$25.96	$49.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.85 / $90.20	Professional	26	$16.98	$19.85	$90.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.40 / $6.51 / $15.05	Professional	TC	$5.40	$6.51	$15.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $26.55 / $26.55	Professional		$26.55	$26.55	$26.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $19.32 / $19.32	Professional	26	$19.32	$19.32	$19.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $33.63 / $39.94	Professional	26	$17.80	$33.63	$39.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.01 / $8.24 / $12.46	Professional	TC	$7.01	$8.24	$12.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $16.41 / $53.32	Professional		$13.99	$16.41	$53.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $12.22 / $39.15	Professional	26	$10.51	$12.22	$39.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.26 / $3.86 / $12.50	Professional	TC	$3.26	$3.86	$12.50
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $14.71 / $24.63 / $46.88	Facility	26	$14.71	$24.63	$46.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $23.14	Professional		$23.14	$23.14	$23.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $18.14 / $66.58	Professional		$5.51	$18.14	$66.58
United Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $28.31 / $51.54	Professional		$17.48	$28.31	$51.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.98 / $20.77 / $37.22	Professional	26	$12.98	$20.77	$37.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $6.71 / $11.27	Professional	TC	$3.98	$6.71	$11.27
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $104.98 / $104.98 / $104.98	Facility	26	$104.98	$104.98	$104.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $180.45 / $180.45 / $242.63	Professional		$180.45	$180.45	$242.63
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $134.87 / $134.87 / $169.13	Professional	26	$134.87	$134.87	$169.13
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $45.58 / $45.58 / $73.58	Professional	TC	$45.58	$45.58	$73.58