Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $51.45 / $97.20	Facility		$26.32	$51.45	$97.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.38 / $5.23 / $5.35	Facility	26	$4.38	$5.23	$5.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $47.20 / $69.39	Professional		$24.09	$47.20	$69.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.23 / $6.42 / $19.39	Professional	26	$5.23	$6.42	$19.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.93 / $33.86 / $50.00	Professional	TC	$16.93	$33.86	$50.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $31.85	Professional		$14.23	$14.23	$31.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.83 / $7.78 / $12.17	Professional	26	$6.83	$7.78	$12.17
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.02 / $25.02 / $25.02	Professional	TC	$25.02	$25.02	$25.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.60 / $13.16 / $16.57	Professional	26	$5.60	$13.16	$16.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.49 / $26.68 / $66.20	Professional	TC	$21.49	$26.68	$66.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $26.58 / $67.11	Professional		$14.90	$26.58	$67.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.20 / $5.37 / $11.62	Professional	26	$3.20	$5.37	$11.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.56 / $21.27 / $55.22	Professional	TC	$11.56	$21.27	$55.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $49.00 / $77.00	Facility		$29.00	$49.00	$77.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $9.18 / $12.00 / $47.00	Facility	26	$9.18	$12.00	$47.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $19.57 / $68.89	Professional		$4.18	$19.57	$68.89
United Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $28.30 / $68.54	Professional		$17.64	$28.30	$68.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.87 / $6.28 / $11.17	Professional	26	$3.87	$6.28	$11.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.45 / $22.42 / $59.25	Professional	TC	$13.45	$22.42	$59.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $178.89 / $178.89 / $178.89	Facility		$178.89	$178.89	$178.89
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $270.27 / $282.08	Professional		$270.27	$270.27	$282.08
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $145.30 / $145.30 / $145.30	Professional	26	$145.30	$145.30	$145.30
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $227.48 / $232.41 / $232.41	Professional	TC	$227.48	$232.41	$232.41