Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.24 / $267.67 / $594.15	Facility		$58.24	$267.67	$594.15
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.57 / $9.19 / $28.55	Facility	26	$7.57	$9.19	$28.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.53 / $155.50 / $609.84	Facility	TC	$24.53	$155.50	$609.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $44.09 / $132.00	Professional		$23.40	$44.09	$132.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $12.82 / $44.00	Professional	26	$7.50	$12.82	$44.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.00 / $112.99 / $198.10	Professional	50	$48.00	$112.99	$198.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.41 / $16.05 / $27.44	Professional	52	$13.41	$16.05	$27.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.98 / $42.41 / $76.08	Professional	TC	$22.98	$42.41	$76.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $35.52 / $51.91	Professional		$26.31	$35.52	$51.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.25 / $12.89 / $21.20	Professional	26	$6.25	$12.89	$21.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $77.86 / $77.86 / $77.86	Professional	50	$77.86	$77.86	$77.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.32 / $24.90 / $42.52	Professional	TC	$21.32	$24.90	$42.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $21.65 / $21.65	Professional		$21.65	$21.65	$21.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $18.79 / $24.75	Professional	26	$13.30	$18.79	$24.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.21 / $45.14 / $61.79	Professional	TC	$30.21	$45.14	$61.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.89 / $54.52 / $108.10	Facility		$40.89	$54.52	$108.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $31.68 / $31.68 / $31.68	Facility	TC	$31.68	$31.68	$31.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $50.15 / $87.50	Professional		$29.69	$50.15	$87.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $13.26 / $23.75	Professional	26	$7.93	$13.26	$23.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $36.89 / $65.25	Professional	TC	$20.91	$36.89	$65.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $50.98 / $81.06	Facility		$32.11	$50.98	$81.06
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.29 / $17.00 / $26.00	Facility	26	$12.29	$17.00	$26.00
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $31.30 / $38.61 / $72.09	Facility	TC	$31.30	$38.61	$72.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $28.00 / $42.18	Professional		$11.00	$28.00	$42.18
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $17.00 / $30.95	Professional	26	$12.29	$17.00	$30.95
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $63.27 / $81.00 / $196.90	Professional	50	$63.27	$81.00	$196.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,199.03 / $3,478.42 / $15,496.66	Facility		$3,199.03	$3,478.42	$15,496.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $36.70 / $62.08	Professional		$8.83	$36.70	$62.08
United Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $28.96 / $65.26	Facility		$9.86	$28.96	$65.26
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $43.81 / $84.75	Professional		$29.38	$43.81	$84.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $11.41 / $20.65	Professional	26	$8.48	$11.41	$20.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.88 / $31.61 / $61.93	Professional	TC	$20.88	$31.61	$61.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $359.91 / $359.91	Facility		$77.20	$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 $59.34 / $153.33 / $153.33	Facility	TC	$59.34	$153.33	$153.33
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $237.03 / $237.03 / $306.52	Professional		$237.03	$237.03	$306.52
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $71.00 / $71.00 / $71.00	Professional	26	$71.00	$71.00	$71.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $183.85 / $183.85 / $238.80	Professional	TC	$183.85	$183.85	$238.80