Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.54 / $43.22 / $65.79	Facility	26	$35.54	$43.22	$65.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.51 / $96.49 / $180.35	Professional		$90.51	$96.49	$180.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.43 / $60.95 / $118.51	Professional	TC	$55.43	$60.95	$118.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $102.95 / $102.95	Professional		$102.95	$102.95	$102.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.56 / $192.03 / $332.85	Professional	TC	$123.56	$192.03	$332.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.47 / $45.47 / $45.47	Facility	26	$45.47	$45.47	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $210.65 / $347.94	Professional		$109.77	$210.65	$347.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.24 / $134.58 / $261.86	Professional	TC	$63.24	$134.58	$261.86
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $60.06 / $67.00 / $120.12	Facility	26	$60.06	$67.00	$120.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $63.00 / $150.00	Professional		$52.00	$63.00	$150.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $100.19 / $188.78	Professional		$41.87	$100.19	$188.78
United Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $174.56 / $272.42	Professional		$99.06	$174.56	$272.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.34 / $109.60 / $192.03	Professional	TC	$58.34	$109.60	$192.03
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $195.84 / $195.84	Facility	26	$100.00	$195.84	$195.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,147.46 / $1,147.46 / $1,147.46	Professional		$1,147.46	$1,147.46	$1,147.46
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $936.75 / $936.75 / $936.75	Professional	TC	$936.75	$936.75	$936.75