Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $191.26 / $362.08	Facility		$48.98	$191.26	$362.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.71 / $11.74 / $17.87	Facility	26	$9.71	$11.74	$17.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $36.93 / $100.79	Professional		$29.19	$36.93	$100.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.02 / $31.23	Professional	26	$9.41	$10.02	$31.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $24.65 / $66.93	Professional	TC	$19.76	$24.65	$66.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $49.97 / $89.99	Professional		$27.37	$49.97	$89.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $11.95 / $22.57	Professional	26	$7.97	$11.95	$22.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.68 / $34.68 / $40.97	Professional	TC	$34.68	$34.68	$40.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.05 / $58.05 / $58.05	Professional		$58.05	$58.05	$58.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $23.39 / $31.58	Professional	26	$16.39	$23.39	$31.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.18 / $43.11 / $59.82	Professional	TC	$33.18	$43.11	$59.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $50.02 / $108.10	Facility		$37.52	$50.02	$108.10
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 Professional Modifier Low / Median / High Price $32.33 / $52.58 / $88.22	Professional		$32.33	$52.58	$88.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $16.53 / $29.99	Professional	26	$9.78	$16.53	$29.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.18 / $34.39 / $60.77	Professional	TC	$21.18	$34.39	$60.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $53.00 / $85.61	Facility		$32.22	$53.00	$85.61
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.93 / $18.00 / $32.49	Facility	26	$15.93	$18.00	$32.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $27.00 / $43.80	Professional		$14.00	$27.00	$43.80
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $15.93 / $18.00	Professional	26	$15.93	$15.93	$18.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $92.04 / $92.04 / $92.04	Professional	TC	$92.04	$92.04	$92.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $225.12 / $225.12	Facility		$225.12	$225.12	$225.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $33.38 / $59.58	Professional		$13.37	$33.38	$59.58
United Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $65.26 / $65.26	Facility		$65.26	$65.26	$65.26
United Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $47.41 / $83.33	Professional		$31.31	$47.41	$83.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.64 / $16.39 / $29.38	Professional	26	$10.64	$16.39	$29.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.84 / $29.45 / $54.73	Professional	TC	$20.84	$29.45	$54.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $85.90 / $359.91 / $359.91	Facility		$85.90	$359.91	$359.91
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $100.00 / $100.00	Facility	26	$36.81	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $236.90 / $236.90 / $308.18	Professional		$236.90	$236.90	$308.18
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $82.56 / $82.56 / $86.33	Professional	26	$82.56	$82.56	$86.33
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $190.00 / $221.85	Professional	TC	$190.00	$190.00	$221.85