Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.52 / $504.36 / $5,882.41	Facility		$122.52	$504.36	$5,882.41
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.37 / $45.29 / $424.04	Facility	26	$27.37	$45.29	$424.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $79.55 / $233.40	Professional		$51.05	$79.55	$233.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.37 / $31.40 / $94.82	Professional	26	$27.37	$31.40	$94.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $41.55 / $170.38	Professional	TC	$23.03	$41.55	$170.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $63.02 / $111.26	Professional		$44.23	$63.02	$111.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.95 / $35.81 / $63.70	Professional	26	$22.95	$35.81	$63.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $471.00 / $471.00 / $471.00	Professional	TC	$471.00	$471.00	$471.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $312.20 / $312.20	Professional		$84.55	$312.20	$312.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.88 / $72.02 / $123.57	Professional	26	$43.88	$72.02	$123.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.77 / $221.77 / $393.61	Professional	TC	$72.77	$221.77	$393.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $65.84 / $544.85	Facility		$65.84	$65.84	$544.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.51 / $34.51 / $34.51	Facility	26	$34.51	$34.51	$34.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $143.40 / $301.73	Professional		$59.03	$143.40	$301.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $47.57 / $84.04	Professional	26	$30.82	$47.57	$84.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.82 / $65.81 / $247.85	Professional	TC	$26.82	$65.81	$247.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.58 / $163.00 / $304.91	Facility		$52.58	$163.00	$304.91
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $48.30 / $66.00 / $86.25	Facility	26	$48.30	$66.00	$86.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $76.00 / $253.41	Professional		$35.00	$76.00	$253.41
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $48.30 / $48.30 / $66.00	Professional	26	$48.30	$48.30	$66.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $96.78 / $96.78 / $96.78	Professional	TC	$96.78	$96.78	$96.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $18,771.23 / $27,633.42 / $40,932.47	Facility		$18,771.23	$27,633.42	$40,932.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $49.73 / $235.10	Professional		$38.53	$49.73	$235.10
United Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $112.20 / $192.80	Professional		$55.82	$112.20	$192.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $41.61 / $85.81	Professional	26	$29.59	$41.61	$85.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.13 / $51.87 / $160.84	Professional	TC	$24.13	$51.87	$160.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $269.22 / $889.98 / $889.98	Facility		$269.22	$889.98	$889.98
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $98.17 / $261.98 / $261.98	Facility	26	$98.17	$261.98	$261.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $947.00 / $953.33 / $953.33	Professional		$947.00	$953.33	$953.33
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $368.00 / $368.00 / $368.00	Professional	26	$368.00	$368.00	$368.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $758.00 / $758.00 / $758.00	Professional	TC	$758.00	$758.00	$758.00