Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.40 / $181.44 / $448.34	Facility		$70.40	$181.44	$448.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.41 / $10.00 / $35.51	Facility	26	$9.41	$10.00	$35.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.91 / $264.29 / $498.21	Facility	TC	$19.91	$264.29	$498.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.39 / $119.28	Professional		$27.54	$37.39	$119.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $11.94 / $43.35	Professional	26	$9.26	$11.94	$43.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $22.12 / $59.78	Professional	TC	$18.48	$22.12	$59.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $53.57 / $81.98	Professional		$20.81	$53.57	$81.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $14.88 / $26.38	Professional	26	$7.78	$14.88	$26.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.71 / $24.61 / $35.52	Professional	TC	$16.71	$24.61	$35.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.03 / $24.31 / $30.78	Professional	26	$17.03	$24.31	$30.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.75 / $40.36 / $53.06	Professional	TC	$29.75	$40.36	$53.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $44.24 / $102.75	Facility		$33.18	$44.24	$102.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.10 / $26.10 / $26.10	Facility	TC	$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $49.53 / $83.73	Professional		$29.93	$49.53	$83.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $17.05 / $29.76	Professional	26	$11.28	$17.05	$29.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.94 / $32.81 / $54.82	Professional	TC	$18.94	$32.81	$54.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $43.50 / $70.06	Facility		$29.33	$43.50	$70.06
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.16 / $18.52 / $32.15	Facility	26	$12.16	$18.52	$32.15
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $26.89 / $27.53 / $50.46	Facility	TC	$26.89	$27.53	$50.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $43.00 / $119.93	Professional		$13.00	$43.00	$119.93
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $38.53 / $38.53 / $38.53	Professional	26	$38.53	$38.53	$38.53
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $27.53 / $27.53 / $27.53	Professional	TC	$27.53	$27.53	$27.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $31.71 / $54.84	Professional		$10.47	$31.71	$54.84
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $40.78 / $76.34	Professional		$29.20	$40.78	$76.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $15.20 / $29.98	Professional	26	$10.65	$15.20	$29.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $28.61 / $55.16	Professional	TC	$19.07	$28.61	$55.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $359.91 / $359.91	Facility		$71.69	$359.91	$359.91
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $24.59 / $70.00 / $70.00	Facility	26	$24.59	$70.00	$70.00
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $49.38 / $127.63 / $127.63	Facility	TC	$49.38	$127.63	$127.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $282.68 / $282.68	Professional		$215.20	$282.68	$282.68
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $66.04 / $83.48 / $83.48	Professional	26	$66.04	$83.48	$83.48
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $149.15 / $199.20 / $199.20	Professional	TC	$149.15	$199.20	$199.20