Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $44.67 / $97.72	Facility		$25.70	$44.67	$97.72
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.25 / $5.62 / $10.23	Facility	26	$5.25	$5.62	$10.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $77.62	Professional		$21.88	$33.11	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $17.78 / $48.98	Professional	26	$5.01	$17.78	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.44 / $50.12	Professional	TC	$15.85	$23.44	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $7.24 / $12.30	Professional	26	$3.09	$7.24	$12.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $28.18 / $28.18	Professional	TC	$28.18	$28.18	$28.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $13.49 / $16.98	Professional	26	$5.75	$13.49	$16.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $26.92 / $66.07	Professional	TC	$21.38	$26.92	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $27.54 / $67.61	Professional		$15.14	$27.54	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $6.17 / $11.75	Professional	26	$3.24	$6.17	$11.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $21.38 / $54.95	Professional	TC	$11.75	$21.38	$54.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $77.62	Professional		$67.61	$67.61	$77.62
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $12.88 / $13.18	Professional	26	$12.88	$12.88	$13.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $43.65 / $79.43	Facility		$25.12	$43.65	$79.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $23.99 / $32.36	Professional		$6.31	$23.99	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $69.18	Professional		$17.78	$28.18	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.80 / $6.31 / $12.02	Professional	26	$3.80	$6.31	$12.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $22.39 / $58.88	Professional	TC	$13.49	$22.39	$58.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $281.84	Professional		$269.15	$269.15	$281.84
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	26	$144.54	$144.54	$144.54
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $234.42 / $234.42	Professional	TC	$229.09	$234.42	$234.42