Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $180.23 / $362.88	Facility		$43.04	$180.23	$362.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.25 / $8.77 / $13.34	Facility	26	$7.25	$8.77	$13.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.59 / $30.90 / $198.56	Facility	TC	$19.59	$30.90	$198.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $36.47 / $114.00	Professional		$18.72	$36.47	$114.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.10 / $38.09	Professional	26	$7.24	$9.10	$38.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $44.93 / $50.66 / $185.86	Professional	50	$44.93	$50.66	$185.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.83 / $14.74 / $35.71	Professional	52	$11.83	$14.74	$35.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $23.33 / $61.10	Professional	TC	$20.07	$23.33	$61.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $33.67 / $82.39	Professional		$24.92	$33.67	$82.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.95 / $10.63 / $16.85	Professional	26	$5.95	$10.63	$16.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $18.82 / $18.82	Professional	TC	$18.82	$18.82	$18.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $21.30 / $21.30	Professional		$21.30	$21.30	$21.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $17.98 / $23.63	Professional	26	$12.09	$17.98	$23.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.86 / $41.27 / $60.48	Professional	TC	$28.86	$41.27	$60.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $49.38 / $108.10	Facility		$37.04	$49.38	$108.10
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 $29.08 / $29.08 / $29.08	Facility	TC	$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $46.11 / $80.78	Professional		$25.33	$46.11	$80.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.29 / $13.10 / $22.54	Professional	26	$7.29	$13.10	$22.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.16 / $33.76 / $60.49	Professional	TC	$19.16	$33.76	$60.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $40.00 / $77.56	Facility		$29.48	$40.00	$77.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.11 / $14.00 / $23.29	Facility	26	$12.11	$14.00	$23.29
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $29.00 / $42.21 / $67.14	Facility	TC	$29.00	$42.21	$67.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $26.00 / $39.50	Professional		$11.00	$26.00	$39.50
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $14.00 / $29.70	Professional	26	$12.11	$14.00	$29.70
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $59.25 / $60.00 / $180.84	Professional	50	$59.25	$60.00	$180.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,276.72 / $4,276.72 / $4,276.72	Facility		$4,276.72	$4,276.72	$4,276.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $33.89 / $56.39	Professional		$8.83	$33.89	$56.39
United Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $40.15 / $78.19	Professional		$26.75	$40.15	$78.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $11.39 / $22.52	Professional	26	$7.79	$11.39	$22.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $30.95 / $55.81	Professional	TC	$19.14	$30.95	$55.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $359.91 / $359.91	Facility		$71.48	$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 $54.35 / $140.51 / $140.51	Facility	TC	$54.35	$140.51	$140.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $217.55 / $217.55 / $284.18	Professional		$217.55	$217.55	$284.18
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $59.45 / $59.45 / $65.18	Professional	26	$59.45	$59.45	$65.18
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $166.53 / $166.53 / $219.00	Professional	TC	$166.53	$166.53	$219.00