Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $13.16 / $33.79	Facility		$2.58	$13.16	$33.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.93 / $9.23 / $9.69	Facility	26	$7.93	$9.23	$9.69
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $3.43 / $5.23 / $6.36	Facility	TC	$3.43	$5.23	$6.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $18.48 / $38.44	Professional		$14.09	$18.48	$38.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.33 / $11.58 / $34.58	Professional	26	$8.33	$11.58	$34.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.77 / $6.90 / $14.24	Professional	TC	$5.77	$6.90	$14.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $20.14 / $23.35	Professional		$8.99	$20.14	$23.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.64 / $12.58 / $22.02	Professional	26	$5.64	$12.58	$22.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.73 / $7.73 / $7.73	Professional	TC	$7.73	$7.73	$7.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.27 / $20.30 / $26.23	Professional	26	$11.27	$20.30	$26.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.95 / $6.88 / $11.84	Professional	TC	$5.95	$6.88	$11.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $18.64 / $33.13	Professional		$8.56	$18.64	$33.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.69 / $11.01 / $21.10	Professional	26	$5.69	$11.01	$21.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.57 / $4.23 / $12.82	Professional	TC	$2.57	$4.23	$12.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $26.00 / $39.00	Facility		$18.48	$26.00	$39.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $21.00 / $30.00	Facility	26	$16.98	$21.00	$30.00
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $6.81 / $12.95 / $23.16	Facility	TC	$6.81	$12.95	$23.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.72 / $38.53	Professional		$5.00	$11.72	$38.53
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $18.86 / $33.02	Professional		$10.70	$18.86	$33.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.15 / $12.19 / $22.09	Professional	26	$7.15	$12.19	$22.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.93 / $7.25 / $13.53	Professional	TC	$3.93	$7.25	$13.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $104.74 / $104.74 / $104.74	Facility		$104.74	$104.74	$104.74
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 Facility Modifier TC Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $130.47 / $169.05	Professional		$130.47	$130.47	$169.05
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $95.76 / $95.76 / $97.13	Professional	26	$95.76	$95.76	$97.13
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $95.76 / $95.76 / $95.76	Professional	TC	$95.76	$95.76	$95.76