Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $43.32 / $43.32	Facility		$32.72	$43.32	$43.32
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.89 / $24.07 / $24.07	Facility	26	$19.89	$24.07	$24.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $41.97 / $93.85	Professional		$34.84	$41.97	$93.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.75 / $27.99 / $198.00	Professional	26	$23.75	$27.99	$198.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $18.21 / $43.41	Professional	TC	$9.88	$18.21	$43.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $54.32 / $54.32	Professional		$54.32	$54.32	$54.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.99 / $30.88 / $68.28	Professional	26	$13.99	$30.88	$68.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.19 / $47.69 / $61.08	Professional	26	$25.19	$47.69	$61.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.51 / $18.82 / $30.88	Professional	TC	$12.51	$18.82	$30.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $44.72 / $82.53	Professional		$18.88	$44.72	$82.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.26 / $27.15 / $51.75	Professional	26	$14.26	$27.15	$51.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.26 / $11.45 / $33.21	Professional	TC	$4.26	$11.45	$33.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.33 / $64.00 / $92.00	Facility		$45.33	$64.00	$92.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $41.90 / $50.00 / $69.00	Facility	26	$41.90	$50.00	$69.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $31.49 / $31.49	Professional		$31.49	$31.49	$31.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $29.57 / $92.60	Professional		$14.72	$29.57	$92.60
United Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $41.96 / $77.81	Professional		$23.62	$41.96	$77.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.61 / $29.35 / $55.96	Professional	26	$17.61	$29.35	$55.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.39 / $13.91 / $32.34	Professional	TC	$6.39	$13.91	$32.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $285.52 / $285.52 / $285.52	Facility		$285.52	$285.52	$285.52
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $148.72 / $148.72 / $148.72	Facility	26	$148.72	$148.72	$148.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $342.09 / $342.09 / $451.80	Professional		$342.09	$342.09	$451.80
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $250.96 / $250.96 / $250.96	Professional	26	$250.96	$250.96	$250.96
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $250.96 / $250.96 / $250.96	Professional	TC	$250.96	$250.96	$250.96