Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $134.90 / $204.17	Facility		$50.12	$134.90	$204.17
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $56.23 / $104.71	Facility	26	$53.70	$56.23	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $338.84	Professional		$109.65	$138.04	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $128.82 / $489.78	Professional	26	$53.70	$128.82	$489.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $72.44 / $177.83	Professional	TC	$57.54	$72.44	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $74.13 / $123.03	Professional	26	$31.62	$74.13	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $102.33 / $141.25	Professional	26	$57.54	$102.33	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $81.28 / $151.36	Professional	TC	$42.66	$81.28	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $257.04	Professional		$64.57	$117.49	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $60.26 / $123.03	Professional	26	$33.11	$60.26	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $52.48 / $128.82	Professional	TC	$28.84	$52.48	$128.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $234.42	Professional		$213.80	$213.80	$234.42
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $128.82 / $131.83	Professional	26	$128.82	$128.82	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $281.84	Facility		$112.20	$169.82	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $162.18	Professional		$64.57	$91.20	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $251.19	Professional		$79.43	$134.90	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $64.57 / $123.03	Professional	26	$39.81	$64.57	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $69.18 / $128.82	Professional	TC	$39.81	$69.18	$128.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $436.52 / $436.52 / $537.03	Professional	26	$436.52	$436.52	$537.03
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $562.34 / $562.34 / $891.25	Professional	TC	$562.34	$562.34	$891.25