Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $251.19 / $524.81	Facility		$69.18	$251.19	$524.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $9.77 / $23.99	Facility	26	$6.92	$9.77	$23.99
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.42 / $37.15 / $398.11	Facility	TC	$20.42	$37.15	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $37.15 / $107.15	Professional		$11.48	$37.15	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $14.45 / $44.67	Professional	26	$6.92	$14.45	$44.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $91.20 / $177.83	Professional	50	$42.66	$91.20	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $32.36 / $70.79	Professional	TC	$19.05	$32.36	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $51.29	Professional		$19.95	$26.92	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $15.14	Professional	26	$6.03	$7.94	$15.14
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $60.26 / $79.43	Professional	50	$60.26	$60.26	$79.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.91 / $37.15	Professional	TC	$15.14	$22.91	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $19.50 / $23.99	Professional	26	$11.22	$19.50	$23.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $35.48 / $54.95	Professional	TC	$28.84	$35.48	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $64.57 / $102.33	Facility		$33.88	$64.57	$102.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.59	Facility	26	$1.86	$8.71	$12.59
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.62 / $26.30 / $37.15	Facility	TC	$5.62	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $75.86	Professional		$26.30	$43.65	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $12.02 / $21.38	Professional	26	$6.92	$12.02	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.20 / $54.95	Professional	TC	$18.20	$30.20	$54.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $15.49 / $15.49	Professional	26	$15.49	$15.49	$15.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $39.81 / $64.57	Facility		$26.92	$39.81	$64.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $2,951.21	Facility		$1,548.82	$1,659.59	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $30.20 / $63.10	Professional		$8.13	$30.20	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $33.11 / $67.61	Facility		$10.23	$33.11	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $64.57	Professional		$26.30	$34.67	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.00 / $17.78	Professional	26	$7.59	$10.00	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.12 / $46.77	Professional	TC	$18.20	$25.12	$46.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
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 $154.88 / $154.88 / $154.88	Facility	TC	$154.88	$154.88	$154.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $269.15	Professional		$204.17	$204.17	$269.15
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $75.86 / $75.86	Professional	26	$72.44	$75.86	$75.86
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $162.18 / $204.17	Professional	TC	$162.18	$162.18	$204.17