Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.88 / $113.96 / $354.00	Facility		$90.88	$113.96	$354.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.57 / $36.57 / $93.98	Facility	26	$36.57	$36.57	$93.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $76.11 / $251.66	Professional		$37.82	$76.11	$251.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.31 / $50.20 / $105.13	Professional	26	$33.31	$50.20	$105.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $37.11 / $148.65	Professional	TC	$25.98	$37.11	$148.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.43 / $138.59 / $208.61	Professional	26	$42.43	$138.59	$208.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.98 / $189.79 / $332.48	Professional	TC	$30.98	$189.79	$332.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Facility		$71.95	$71.95	$71.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.98 / $41.98 / $41.98	Facility	26	$41.98	$41.98	$41.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $208.64 / $408.77	Professional		$75.64	$208.64	$408.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.86 / $93.99 / $167.55	Professional	26	$42.86	$93.99	$167.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.58 / $120.85 / $261.94	Professional	TC	$31.58	$120.85	$261.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.55 / $139.97 / $380.00	Facility		$62.55	$139.97	$380.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $82.65 / $104.65 / $120.00	Facility	26	$82.65	$104.65	$120.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $48.00 / $88.00	Professional		$39.00	$48.00	$88.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $104.65 / $104.65 / $104.65	Professional	26	$104.65	$104.65	$104.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $83.80 / $554.29	Professional		$3.00	$83.80	$554.29
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $896.00 / $2,074.00	Facility		$206.00	$896.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $177.88 / $352.98	Professional		$65.77	$177.88	$352.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.31 / $75.30 / $144.25	Professional	26	$38.31	$75.30	$144.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.46 / $83.37 / $212.03	Professional	TC	$27.46	$83.37	$212.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,922.50 / $2,922.50	Facility		$55.00	$2,922.50	$2,922.50
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $166.52 / $323.94 / $323.94	Facility	26	$166.52	$323.94	$323.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,172.83 / $1,172.83 / $1,317.18	Professional		$1,172.83	$1,172.83	$1,317.18
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $638.00 / $638.00 / $638.00	Professional	26	$638.00	$638.00	$638.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $870.88 / $870.88 / $870.88	Professional	TC	$870.88	$870.88	$870.88