Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $316.23 / $549.54	Facility		$58.88	$316.23	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $11.75 / $37.15	Facility	26	$9.77	$11.75	$37.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.30 / $97.72 / $501.19	Facility	TC	$26.30	$97.72	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $144.54	Professional		$33.88	$54.95	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $41.69	Professional	26	$8.91	$14.79	$41.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.02 / $56.23 / $269.15	Professional	50	$38.02	$56.23	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $32.36 / $81.28	Professional	TC	$23.99	$32.36	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.31 / $69.18	Professional		$26.30	$36.31	$69.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.47 / $19.95	Professional	26	$7.94	$10.47	$19.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	50	$52.48	$52.48	$52.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $28.84 / $36.31	Professional	TC	$18.62	$28.84	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $25.70 / $33.11	Professional	26	$16.22	$25.70	$33.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $50.12 / $75.86	Professional	TC	$40.74	$50.12	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $64.57 / $131.83	Facility		$43.65	$64.57	$131.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $7.08 / $33.11 / $47.86	Facility	TC	$7.08	$33.11	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $102.33	Professional		$33.88	$58.88	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.60 / $29.51	Professional	26	$9.55	$16.60	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $40.74 / $74.13	Professional	TC	$25.12	$40.74	$74.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $46.77 / $83.18	Facility		$33.88	$46.77	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
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 $10.96 / $38.02 / $77.62	Professional		$10.96	$38.02	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $47.86 / $147.91	Facility		$14.13	$47.86	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $85.11	Professional		$36.31	$48.98	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.45 / $23.99	Professional	26	$10.96	$14.45	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.88 / $61.66	Professional	TC	$25.12	$33.88	$61.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Facility		$263.03	$263.03	$363.08
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $85.11	Facility	26	$70.79	$70.79	$85.11
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	TC	$194.98	$194.98	$194.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $346.74	Professional		$263.03	$263.03	$346.74
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $67.61 / $87.10	Professional	26	$67.61	$67.61	$87.10
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $194.98 / $263.03	Professional	TC	$194.98	$194.98	$263.03