Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $190.55 / $457.09	Facility		$70.79	$190.55	$457.09
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $11.22 / $32.36	Facility	26	$9.33	$11.22	$32.36
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $208.93 / $501.19	Facility	TC	$19.95	$208.93	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $48.98 / $125.89	Professional		$27.54	$48.98	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.45 / $46.77	Professional	26	$8.91	$14.45	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $28.18 / $64.57	Professional	TC	$18.62	$28.18	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $53.70	Professional		$20.89	$25.70	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.23 / $17.38	Professional	26	$7.76	$10.23	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $21.38 / $34.67	Professional	TC	$15.49	$21.38	$34.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $25.12 / $30.90	Professional	26	$14.79	$25.12	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $40.74 / $56.23	Professional	TC	$28.18	$40.74	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $52.48 / $100.00	Facility		$33.11	$52.48	$100.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.51 / $11.75 / $16.98	Facility	26	$2.51	$11.75	$16.98
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.37 / $25.12 / $36.31	Facility	TC	$5.37	$25.12	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $83.18	Professional		$26.92	$46.77	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.85 / $28.18	Professional	26	$8.91	$15.85	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $30.90 / $54.95	Professional	TC	$18.62	$30.90	$54.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $37.15 / $67.61	Facility		$27.54	$37.15	$67.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $30.20 / $60.26	Professional		$10.47	$30.20	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $37.15 / $91.20	Facility		$13.18	$37.15	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $69.18	Professional		$28.84	$38.02	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.80 / $23.44	Professional	26	$10.23	$13.80	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $24.55 / $45.71	Professional	TC	$18.20	$24.55	$45.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $363.08	Facility		$213.80	$213.80	$363.08
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	TC	$147.91	$147.91	$147.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $281.84	Professional		$213.80	$213.80	$281.84
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $66.07 / $83.18	Professional	26	$66.07	$66.07	$83.18
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $147.91 / $199.53	Professional	TC	$147.91	$147.91	$199.53