Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $331.13 / $812.83	Facility		$109.65	$331.13	$812.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $30.90 / $83.18	Facility	26	$23.99	$30.90	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $288.40	Professional		$72.44	$112.20	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $36.31 / $89.13	Professional	26	$23.99	$36.31	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $81.28 / $154.88	Professional	TC	$52.48	$81.28	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $154.88	Professional		$75.86	$97.72	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $27.54 / $44.67	Professional	26	$20.42	$27.54	$44.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $54.95 / $70.79	Professional	26	$33.88	$54.95	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $93.33 / $162.18	Professional	TC	$60.26	$93.33	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $239.88	Professional		$83.18	$144.54	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $40.74 / $69.18	Professional	26	$26.92	$40.74	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $97.72 / $177.83	Professional	TC	$53.70	$97.72	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $173.78	Facility		$95.50	$114.82	$173.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $2,089.30	Facility		$741.31	$741.31	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $316.23	Professional		$102.33	$162.18	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $199.53	Professional		$72.44	$102.33	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.20 / $53.70	Professional	26	$25.12	$30.20	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $75.86 / $147.91	Professional	TC	$45.71	$75.86	$147.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $954.99	Professional		$758.58	$954.99	$954.99
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $213.80 / $213.80	Professional	26	$169.82	$213.80	$213.80
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $588.84 / $741.31 / $741.31	Professional	TC	$588.84	$741.31	$741.31