Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $228.96 / $354.72	Facility		$54.00	$228.96	$354.72
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.87 / $11.40 / $20.07	Facility	26	$7.87	$11.40	$20.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.10 / $28.70 / $665.08	Facility	TC	$23.10	$28.70	$665.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $34.78 / $103.44	Professional		$30.38	$34.78	$103.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $10.61 / $32.83	Professional	26	$7.87	$10.61	$32.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.79 / $23.38 / $55.08	Professional	TC	$22.79	$23.38	$55.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $35.22 / $35.22	Professional		$26.66	$35.22	$35.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $13.41 / $22.02	Professional	26	$6.52	$13.41	$22.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $29.92	Professional		$29.92	$29.92	$29.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $25.59 / $34.50	Professional	26	$16.26	$25.59	$34.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.95 / $48.62 / $65.09	Professional	TC	$35.95	$48.62	$65.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.96 / $51.95 / $126.40	Facility		$38.96	$51.95	$126.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.58 / $30.58 / $30.58	Facility	TC	$30.58	$30.58	$30.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $55.62 / $94.15	Professional		$34.09	$55.62	$94.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $17.14 / $31.15	Professional	26	$9.75	$17.14	$31.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.98 / $38.46 / $64.23	Professional	TC	$22.98	$38.46	$64.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $57.00 / $88.62	Facility		$31.26	$57.00	$88.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $16.82 / $20.00 / $29.88	Facility	26	$16.82	$20.00	$29.88
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $30.58 / $37.56 / $70.12	Facility	TC	$30.58	$37.56	$70.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $29.00 / $46.00	Professional		$16.00	$29.00	$46.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.00 / $32.24	Professional	26	$16.98	$20.00	$32.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $46.88 / $70.90	Professional		$13.03	$46.88	$70.90
United Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $44.69 / $91.71	Professional		$33.89	$44.69	$91.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.13 / $15.77 / $27.86	Professional	26	$10.13	$15.77	$27.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.02 / $34.07 / $61.93	Professional	TC	$23.02	$34.07	$61.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $76.54 / $359.91 / $359.91	Facility		$76.54	$359.91	$359.91
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $31.90 / $100.00 / $100.00	Facility	26	$31.90	$100.00	$100.00
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $57.91 / $149.66 / $149.66	Facility	TC	$57.91	$149.66	$149.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $230.47 / $303.45	Professional		$230.47	$230.47	$303.45
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $77.59 / $77.59 / $77.59	Professional	26	$77.59	$77.59	$77.59
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $214.00 / $214.00 / $233.18	Professional	TC	$214.00	$214.00	$233.18