Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $169.82 / $407.38	Facility	26	$102.33	$169.82	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $891.25	Professional		$346.74	$380.19	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $120.23 / $257.04	Professional	26	$102.33	$120.23	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $269.15 / $602.56	Professional	TC	$239.88	$269.15	$602.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $251.19 / $323.59	Professional	26	$125.89	$251.19	$323.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $331.13 / $602.56	Professional	TC	$234.42	$331.13	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $851.14	Professional		$346.74	$512.86	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $169.82 / $269.15	Professional	26	$123.03	$169.82	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $588.84	Professional	TC	$218.78	$338.84	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $645.65 / $1,000.00	Professional		$3.02	$645.65	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $741.31	Professional		$295.12	$389.05	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $138.04 / $251.19	Professional	26	$104.71	$138.04	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $245.47 / $501.19	Professional	TC	$190.55	$245.47	$501.19
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	26	$645.65	$645.65	$645.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $2,884.03	Professional		$2,454.71	$2,884.03	$2,884.03
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $758.58 / $851.14 / $851.14	Professional	26	$758.58	$851.14	$851.14
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,698.24 / $1,995.26 / $1,995.26	Professional	TC	$1,698.24	$1,995.26	$1,995.26