Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $257.04 / $588.84	Facility		$83.18	$257.04	$588.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $11.48 / $28.18	Facility	26	$8.13	$11.48	$28.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $194.98 / $707.95	Facility	TC	$27.54	$194.98	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $47.86 / $147.91	Professional		$13.49	$47.86	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $16.98 / $50.12	Professional	26	$8.13	$16.98	$50.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $31.62 / $89.13 / $223.87	Professional	50	$31.62	$89.13	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $47.86 / $109.65	Professional	TC	$25.70	$47.86	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $66.07	Professional		$25.12	$31.62	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $9.33 / $16.22	Professional	26	$6.76	$9.33	$16.22
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $67.61 / $102.33	Professional	50	$37.15	$67.61	$102.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $47.86	Professional	TC	$20.89	$29.51	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $20.42 / $26.92	Professional	26	$12.88	$20.42	$26.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $45.71 / $70.79	Professional	TC	$33.11	$45.71	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $81.28 / $112.20	Facility		$44.67	$81.28	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $10.23 / $14.79	Facility	26	$2.19	$10.23	$14.79
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $7.41 / $34.67 / $48.98	Facility	TC	$7.41	$34.67	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $97.72	Professional		$33.11	$54.95	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $13.49 / $24.55	Professional	26	$8.13	$13.49	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $39.81 / $72.44	Professional	TC	$23.99	$39.81	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.22 / $16.22	Professional	26	$16.22	$16.22	$16.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50.12 / $83.18	Facility		$33.88	$50.12	$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 Professional Modifier Low / Median / High Price $9.77 / $39.81 / $85.11	Professional		$9.77	$39.81	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $37.15 / $67.61	Facility		$11.22	$37.15	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $81.28	Professional		$31.62	$44.67	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.22 / $20.42	Professional	26	$8.71	$11.22	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $60.26	Professional	TC	$22.91	$32.36	$60.26
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 $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Wellcare Facility/Professional Facility Modifier TC Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	TC	$204.17	$204.17	$204.17
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 $79.43 / $79.43 / $79.43	Professional	26	$79.43	$79.43	$79.43
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $204.17 / $269.15	Professional	TC	$204.17	$204.17	$269.15