Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $346.74 / $562.34	Facility		$91.20	$346.74	$562.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $60.26 / $288.40	Facility	26	$36.31	$60.26	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $79.43 / $380.19	Professional		$36.31	$79.43	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $52.48 / $165.96	Professional	26	$30.90	$52.48	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $34.67 / $165.96	Professional	TC	$25.12	$34.67	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $131.83	Professional		$23.44	$33.11	$131.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $39.81 / $66.07	Professional	26	$36.31	$39.81	$66.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $16.60 / $22.91	Professional	TC	$14.45	$16.60	$22.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $120.23 / $194.98	Professional	26	$44.67	$120.23	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $181.97 / $323.59	Professional	TC	$33.88	$181.97	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $43.65 / $63.10	Facility	26	$9.33	$43.65	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $199.53 / $416.87	Professional		$74.13	$199.53	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $91.20 / $173.78	Professional	26	$41.69	$91.20	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $100.00 / $263.03	Professional	TC	$30.90	$100.00	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	26	$138.04	$138.04	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $102.33 / $363.08	Facility		$63.10	$102.33	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $758.58 / $1,949.84	Facility		$173.78	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $177.83 / $331.13	Professional		$64.57	$177.83	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $75.86 / $131.83	Professional	26	$37.15	$75.86	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $81.28 / $199.53	Professional	TC	$26.92	$81.28	$199.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,951.21 / $2,951.21	Facility		$56.23	$2,951.21	$2,951.21
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	26	$323.59	$323.59	$323.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $1,318.26	Professional		$1,174.90	$1,318.26	$1,318.26
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	26	$630.96	$630.96	$630.96
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $870.96 / $870.96 / $870.96	Professional	TC	$870.96	$870.96	$870.96