Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.69 / $25.63 / $39.02	Facility	26	$20.69	$25.63	$39.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $124.41 / $206.43	Professional		$102.42	$124.41	$206.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.16 / $103.73 / $153.59	Professional	TC	$83.16	$103.73	$153.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $60.80 / $60.80	Professional		$60.80	$60.80	$60.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.48 / $166.51 / $234.70	Professional	TC	$119.48	$166.51	$234.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $26.26	Facility	26	$26.26	$26.26	$26.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.26 / $178.38 / $321.33	Professional		$105.26	$178.38	$321.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.66 / $140.19 / $266.88	Professional	TC	$81.66	$140.19	$266.88
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $33.00 / $37.83 / $69.20	Facility	26	$33.00	$37.83	$69.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $105.00 / $157.00	Professional		$31.00	$105.00	$157.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $424.12 / $424.12 / $424.12	Professional	TC	$424.12	$424.12	$424.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $141.37 / $239.74	Professional		$24.06	$141.37	$239.74
United Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $162.74 / $283.73	Professional		$104.77	$162.74	$283.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.75 / $126.42 / $228.85	Professional	TC	$79.75	$126.42	$228.85
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $73.63 / $113.57 / $113.57	Facility	26	$73.63	$113.57	$113.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $923.37 / $923.37 / $1,172.33	Professional		$923.37	$923.37	$1,172.33
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $778.42 / $778.42 / $986.78	Professional	TC	$778.42	$778.42	$986.78