Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $223.87 / $436.52	Facility		$61.66	$223.87	$436.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $12.59 / $30.20	Facility	26	$8.71	$12.59	$30.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $79.43 / $630.96	Facility	TC	$19.95	$79.43	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $128.82	Professional		$28.18	$47.86	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $16.22 / $40.74	Professional	26	$7.94	$16.22	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $66.07	Professional	TC	$19.05	$30.90	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $51.29	Professional		$20.89	$25.70	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.00 / $18.62	Professional	26	$7.59	$10.00	$18.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.39 / $34.67	Professional	TC	$16.22	$22.39	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $23.99 / $31.62	Professional	26	$14.45	$23.99	$31.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $42.66 / $64.57	Professional	TC	$32.36	$42.66	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $61.66 / $120.23	Facility		$33.11	$61.66	$120.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.34 / $10.96 / $15.85	Facility	26	$2.34	$10.96	$15.85
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 $31.62 / $50.12 / $83.18	Professional		$31.62	$50.12	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $15.49 / $27.54	Professional	26	$8.71	$15.49	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.11 / $57.54	Professional	TC	$19.95	$33.11	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $46.77 / $74.13	Facility		$28.84	$46.77	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $602.56	Facility		$275.42	$275.42	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $31.62 / $70.79	Professional		$10.23	$31.62	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $40.74 / $81.28	Facility		$12.88	$40.74	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $72.44	Professional		$30.20	$40.74	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.88 / $23.44	Professional	26	$9.77	$12.88	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $48.98	Professional	TC	$19.95	$26.92	$48.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $363.08	Facility		$208.93	$208.93	$363.08
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
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 $218.78 / $218.78 / $275.42	Professional		$218.78	$218.78	$275.42
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $204.17 / $204.17	Professional	TC	$199.53	$204.17	$204.17