Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.89 / $239.02 / $505.48	Facility		$76.89	$239.02	$505.48
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.96 / $8.44 / $12.88	Facility	26	$6.96	$8.44	$12.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.46 / $47.61 / $318.63	Facility	TC	$18.46	$47.61	$318.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $34.27 / $79.93	Professional		$17.87	$34.27	$79.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $10.47 / $37.28	Professional	26	$6.96	$10.47	$37.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.65 / $110.64 / $159.86	Professional	50	$35.65	$110.64	$159.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $22.70 / $56.71	Professional	TC	$18.21	$22.70	$56.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $42.61 / $42.61	Professional		$21.74	$42.61	$42.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $10.63 / $16.18	Professional	26	$5.75	$10.63	$16.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.03 / $26.03 / $26.03	Professional	TC	$26.03	$26.03	$26.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.85 / $19.85	Professional		$19.85	$19.85	$19.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $17.28 / $23.59	Professional	26	$12.08	$17.28	$23.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.30 / $38.76 / $51.01	Professional	TC	$29.30	$38.76	$51.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $41.03 / $102.75	Facility		$30.77	$41.03	$102.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.24 / $24.24 / $24.24	Facility	TC	$24.24	$24.24	$24.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $43.34 / $73.25	Professional		$26.87	$43.34	$73.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.20 / $12.35 / $21.78	Professional	26	$7.20	$12.35	$21.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.79 / $30.16 / $51.85	Professional	TC	$18.79	$30.16	$51.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $44.83 / $69.93	Facility		$25.44	$44.83	$69.93
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $11.27 / $13.00 / $24.18	Facility	26	$11.27	$13.00	$24.18
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $24.23 / $36.90 / $56.26	Facility	TC	$24.23	$36.90	$56.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $22.00 / $36.65	Professional		$11.00	$22.00	$36.65
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $11.27 / $13.00 / $28.52	Professional	26	$11.27	$13.00	$28.52
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $54.98 / $69.00 / $156.00	Professional	50	$54.98	$69.00	$156.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $324.08 / $324.08 / $1,546.87	Facility		$324.08	$324.08	$1,546.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $29.43 / $48.96	Professional		$8.16	$29.43	$48.96
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 $26.43 / $39.24 / $74.25	Professional		$26.43	$39.24	$74.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $11.13 / $21.44	Professional	26	$7.73	$11.13	$21.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.36 / $25.36 / $48.82	Professional	TC	$18.36	$25.36	$48.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $62.24 / $359.91 / $359.91	Facility		$62.24	$359.91	$359.91
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $100.00 / $100.00	Facility	26	$24.54	$100.00	$100.00
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $45.82 / $118.47 / $118.47	Facility	TC	$45.82	$118.47	$118.47
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 $64.39 / $64.39 / $64.39	Professional	26	$64.39	$64.39	$64.39
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $161.00 / $161.00 / $185.03	Professional	TC	$161.00	$161.00	$185.03