Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $12.88 / $26.30	Facility		$7.59	$12.88	$26.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $3.63 / $6.61	Facility	26	$3.09	$3.63	$6.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $31.62	Professional		$10.96	$14.79	$31.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $7.41 / $22.39	Professional	26	$3.02	$7.41	$22.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $10.00 / $22.91	Professional	TC	$7.94	$10.00	$22.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.04 / $4.47 / $7.94	Professional	26	$2.04	$4.47	$7.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $95.50	Professional		$72.44	$72.44	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.72 / $7.59 / $9.77	Professional	26	$3.72	$7.59	$9.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $17.78 / $31.62	Professional	TC	$10.00	$17.78	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $12.88 / $32.36	Professional		$7.41	$12.88	$32.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.04 / $3.98 / $7.59	Professional	26	$2.04	$3.98	$7.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $9.33 / $24.55	Professional	TC	$5.25	$9.33	$24.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $36.31	Professional		$31.62	$31.62	$36.31
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $7.94 / $7.94	Professional	26	$7.94	$7.94	$7.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $20.42 / $44.67	Facility		$11.75	$20.42	$44.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $10.72 / $15.85	Professional		$4.07	$10.72	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $32.36	Professional		$8.91	$13.80	$32.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.51 / $4.07 / $7.76	Professional	26	$2.51	$4.07	$7.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.17 / $10.00 / $25.70	Professional	TC	$6.17	$10.00	$25.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $141.25	Professional		$125.89	$125.89	$141.25
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $100.00 / $104.71	Professional	TC	$100.00	$100.00	$104.71