Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $188.60 / $560.66	Facility		$48.28	$188.60	$560.66
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.87 / $8.35 / $14.08	Facility	26	$7.87	$8.35	$14.08
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.71 / $273.74 / $352.85	Facility	TC	$14.71	$273.74	$352.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.03 / $79.75	Professional		$17.78	$23.03	$79.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $9.51 / $39.00	Professional	26	$7.88	$9.51	$39.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.55 / $15.58 / $35.61	Professional	TC	$10.55	$15.58	$35.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $19.53 / $23.63	Professional		$16.07	$19.53	$23.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.51 / $13.41 / $22.08	Professional	26	$6.51	$13.41	$22.08
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.17 / $13.17 / $13.17	Professional	TC	$13.17	$13.17	$13.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $20.34 / $25.75	Professional	26	$14.23	$20.34	$25.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.45 / $21.44 / $28.83	Professional	TC	$16.45	$21.44	$28.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $32.68 / $102.75	Facility		$24.51	$32.68	$102.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.39 / $19.39 / $19.39	Facility	TC	$19.39	$19.39	$19.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $35.52 / $62.06	Professional		$20.87	$35.52	$62.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $14.26 / $24.91	Professional	26	$9.41	$14.26	$24.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.45 / $19.91 / $40.68	Professional	TC	$11.45	$19.91	$40.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $28.32 / $50.61	Facility		$22.59	$28.32	$50.61
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $11.83 / $18.82 / $26.90	Facility	26	$11.83	$18.82	$26.90
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $14.96 / $14.96 / $29.49	Facility	TC	$14.96	$14.96	$29.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $28.32 / $92.37	Professional		$11.00	$28.32	$92.37
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $32.24 / $32.24 / $32.24	Professional	26	$32.24	$32.24	$32.24
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $14.96 / $14.96 / $14.96	Professional	TC	$14.96	$14.96	$14.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,606.40 / $2,606.40 / $8,047.77	Facility		$2,606.40	$2,606.40	$8,047.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $24.82 / $43.07	Professional		$8.83	$24.82	$43.07
United Facility/Professional Facility Modifier Low / Median / High Price $90.68 / $90.68 / $90.68	Facility		$90.68	$90.68	$90.68
United Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $30.98 / $66.00	Professional		$20.50	$30.98	$66.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.72 / $23.68	Professional	26	$8.91	$12.72	$23.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.92 / $18.37 / $34.27	Professional	TC	$10.92	$18.37	$34.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.18 / $359.91 / $359.91	Facility		$55.18	$359.91	$359.91
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $70.00 / $70.00	Facility	26	$20.47	$70.00	$70.00
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $36.54 / $94.62 / $94.62	Facility	TC	$36.54	$94.62	$94.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $165.42 / $218.63 / $218.63	Professional		$165.42	$218.63	$218.63
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $55.28 / $70.34 / $70.34	Professional	26	$55.28	$70.34	$70.34
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $110.07 / $148.28 / $148.28	Professional	TC	$110.07	$148.28	$148.28