Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $154.88	Professional		$87.10	$97.72	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $52.48 / $79.43	Professional	TC	$42.66	$52.48	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $87.10	Professional		$81.28	$81.28	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $42.66 / $147.91	Professional	TC	$36.31	$42.66	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $51.29 / $74.13	Facility	26	$10.96	$51.29	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $257.04	Professional		$81.28	$134.90	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $61.66 / $141.25	Professional	TC	$19.50	$61.66	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Professional	26	$77.62	$77.62	$77.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $181.97	Professional		$45.71	$89.13	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $199.53	Professional		$75.86	$104.71	$199.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $53.70 / $100.00	Professional	TC	$30.90	$53.70	$100.00
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	26	$295.12	$295.12	$295.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $741.31	Professional		$645.65	$645.65	$741.31
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $354.81 / $371.54	Professional	TC	$354.81	$354.81	$371.54