Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.39 / $223.38 / $403.56	Facility		$55.39	$223.38	$403.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.25 / $8.39 / $17.50	Facility	26	$7.25	$8.39	$17.50
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.17 / $33.31 / $318.63	Facility	TC	$18.17	$33.31	$318.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $32.86 / $83.70	Professional		$21.42	$32.86	$83.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $8.56 / $35.76	Professional	26	$6.95	$8.56	$35.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.12 / $68.45 / $159.86	Professional	50	$42.12	$68.45	$159.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.17 / $21.63 / $56.57	Professional	TC	$18.17	$21.63	$56.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $71.17 / $71.17	Professional		$37.26	$71.17	$71.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.99 / $9.55 / $24.03	Professional	26	$5.99	$9.55	$24.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.65 / $28.43 / $32.60	Professional	TC	$15.65	$28.43	$32.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $18.92 / $18.92	Professional		$18.92	$18.92	$18.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $16.62 / $22.41	Professional	26	$11.47	$16.62	$22.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.30 / $38.67 / $53.20	Professional	TC	$29.30	$38.67	$53.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $40.39 / $102.75	Facility		$30.29	$40.39	$102.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.86 / $23.86 / $23.86	Facility	TC	$23.86	$23.86	$23.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $43.37 / $73.04	Professional		$26.47	$43.37	$73.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.15 / $12.17 / $21.18	Professional	26	$7.15	$12.17	$21.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $31.19 / $51.44	Professional	TC	$18.30	$31.19	$51.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $45.38 / $68.28	Facility		$25.44	$45.38	$68.28
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $10.74 / $13.00 / $23.04	Facility	26	$10.74	$13.00	$23.04
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $23.85 / $29.87 / $55.25	Facility	TC	$23.85	$29.87	$55.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $24.00 / $36.61	Professional		$10.00	$24.00	$36.61
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $13.00 / $29.70	Professional	26	$10.74	$13.00	$29.70
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $54.93 / $78.00 / $156.00	Professional	50	$54.93	$78.00	$156.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $538.66 / $572.41 / $8,042.35	Facility		$538.66	$572.41	$8,042.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $27.73 / $48.41	Professional		$8.36	$27.73	$48.41
United Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $24.76 / $65.26	Facility		$8.61	$24.76	$65.26
United Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $34.64 / $70.50	Professional		$25.88	$34.64	$70.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $10.77 / $19.95	Professional	26	$7.44	$10.77	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.34 / $24.49 / $50.40	Professional	TC	$18.34	$24.49	$50.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $63.81 / $359.91 / $359.91	Facility		$63.81	$359.91	$359.91
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $19.63 / $100.00 / $100.00	Facility	26	$19.63	$100.00	$100.00
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $45.10 / $116.61 / $116.61	Facility	TC	$45.10	$116.61	$116.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $187.12 / $247.35	Professional		$187.12	$187.12	$247.35
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $67.70 / $67.70 / $67.70	Professional	26	$67.70	$67.70	$67.70
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $160.00 / $160.00 / $182.25	Professional	TC	$160.00	$160.00	$182.25