Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.10 / $281.36 / $529.46	Facility		$83.10	$281.36	$529.46
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.71 / $10.48 / $18.39	Facility	26	$9.71	$10.48	$18.39
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.26 / $210.12 / $474.82	Facility	TC	$26.26	$210.12	$474.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $42.83 / $121.92	Professional		$35.95	$42.83	$121.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $10.82 / $31.23	Professional	26	$9.35	$10.82	$31.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.28 / $38.29 / $56.27	Professional	50	$38.28	$38.29	$56.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $28.84 / $78.55	Professional	TC	$25.57	$28.84	$78.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $65.62 / $100.39	Professional		$30.78	$65.62	$100.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $9.09 / $22.57	Professional	26	$7.97	$9.09	$22.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $16.80 / $16.80	Professional	TC	$16.80	$16.80	$16.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $28.72 / $28.72	Professional		$28.72	$28.72	$28.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $25.80 / $32.86	Professional	26	$17.80	$25.80	$32.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.02 / $54.56 / $75.09	Professional	TC	$42.02	$54.56	$75.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $58.37 / $130.49	Facility		$43.78	$58.37	$130.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $34.29 / $34.29 / $34.29	Facility	TC	$34.29	$34.29	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $59.96 / $104.02	Professional		$38.49	$59.96	$104.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $18.10 / $30.67	Professional	26	$11.73	$18.10	$30.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.52 / $43.49 / $73.56	Professional	TC	$26.52	$43.49	$73.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $56.10 / $93.44	Facility		$35.97	$56.10	$93.44
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $17.55 / $26.40 / $33.29	Facility	26	$17.55	$26.40	$33.29
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $38.10 / $38.86 / $62.76	Facility	TC	$38.10	$38.86	$62.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $35.00 / $53.00	Professional		$15.00	$35.00	$53.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $84.15 / $84.15 / $220.63	Professional	50	$84.15	$84.15	$220.63
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $38.86 / $38.86 / $107.42	Professional	TC	$38.86	$38.86	$107.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $278.04	Facility		$278.04	$278.04	$278.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $39.70 / $69.90	Professional		$11.19	$39.70	$69.90
United Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $50.91 / $98.72	Professional		$37.40	$50.91	$98.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $15.75 / $30.13	Professional	26	$10.98	$15.75	$30.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.94 / $37.54 / $68.06	Professional	TC	$25.94	$37.54	$68.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $359.91 / $359.91	Facility		$85.00	$359.91	$359.91
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $70.00 / $70.00	Facility	26	$50.00	$70.00	$70.00
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $65.04 / $168.01 / $168.01	Facility	TC	$65.04	$168.01	$168.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $265.10 / $347.78 / $347.78	Professional		$265.10	$347.78	$347.78
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $68.20 / $86.33 / $86.33	Professional	26	$68.20	$86.33	$86.33
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $196.89 / $261.45 / $261.45	Professional	TC	$196.89	$261.45	$261.45