Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.32 / $25.82 / $45.52	Facility	26	$25.32	$25.82	$45.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $118.06 / $225.70	Professional		$90.73	$118.06	$225.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.08 / $25.32 / $59.80	Professional	26	$24.08	$25.32	$59.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $92.74 / $174.20	Professional	TC	$66.45	$92.74	$174.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $68.34 / $68.34	Professional		$68.34	$68.34	$68.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.93 / $55.55 / $75.41	Professional	26	$42.93	$55.55	$75.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.44 / $156.51 / $198.89	Professional	TC	$117.44	$156.51	$198.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.15 / $32.15 / $32.15	Facility	26	$32.15	$32.15	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.62 / $171.51 / $311.19	Professional		$102.62	$171.51	$311.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.92 / $43.47 / $76.20	Professional	26	$24.92	$43.47	$76.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.88 / $126.79 / $235.52	Professional	TC	$75.88	$126.79	$235.52
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $39.96 / $45.00 / $76.23	Facility	26	$39.96	$45.00	$76.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $91.00 / $134.00	Professional		$36.00	$91.00	$134.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $39.96 / $45.00 / $103.52	Professional	26	$39.96	$45.00	$103.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $125.85 / $216.18	Professional		$30.29	$125.85	$216.18
United Facility/Professional Professional Modifier Low / Median / High Price $100.66 / $153.99 / $289.16	Professional		$100.66	$153.99	$289.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $41.70 / $79.92	Professional	26	$27.12	$41.70	$79.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.48 / $105.84 / $200.62	Professional	TC	$72.48	$105.84	$200.62
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $136.56 / $136.56	Facility	26	$85.90	$136.56	$136.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $873.78 / $873.78 / $1,050.68	Professional		$873.78	$873.78	$1,050.68
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $198.13 / $198.13 / $226.28	Professional	26	$198.13	$198.13	$226.28
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $695.99 / $695.99 / $824.33	Professional	TC	$695.99	$695.99	$824.33