Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $16.22 / $30.90	Facility		$2.57	$16.22	$30.90
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.77 / $18.62	Facility	26	$9.33	$9.77	$18.62
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $3.47 / $6.76 / $12.30	Facility	TC	$3.47	$6.76	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $34.67	Professional		$15.14	$17.78	$34.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $25.12 / $81.28	Professional	26	$8.91	$25.12	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $7.08 / $16.60	Professional	TC	$5.75	$7.08	$16.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $13.80 / $21.88	Professional	26	$12.02	$13.80	$21.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $10.47 / $10.47	Professional	TC	$10.47	$10.47	$10.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $23.44	Professional	26	$10.96	$18.20	$23.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.17 / $6.92 / $10.23	Professional	TC	$6.17	$6.92	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.62 / $32.36	Professional		$8.71	$18.62	$32.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $11.22 / $20.89	Professional	26	$5.75	$11.22	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.63 / $4.37 / $12.30	Professional	TC	$2.63	$4.37	$12.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $32.36	Professional		$30.20	$30.20	$32.36
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $22.91	Professional	26	$21.88	$21.88	$22.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $38.90	Facility		$16.22	$23.44	$38.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $19.95	Professional		$7.76	$11.22	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.05 / $35.48	Professional		$10.96	$19.05	$35.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.48 / $21.38	Professional	26	$6.92	$11.48	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $7.24 / $13.49	Professional	TC	$3.89	$7.24	$13.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $169.82	Professional		$131.83	$131.83	$169.82
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $95.50 / $97.72	Professional	26	$95.50	$95.50	$97.72
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	TC	$95.50	$95.50	$95.50