Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $27.57 / $49.84	Facility	26	$25.15	$27.57	$49.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $80.34 / $153.83	Professional		$78.09	$80.34	$153.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.40 / $55.55 / $100.42	Professional	TC	$52.40	$55.55	$100.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $72.95 / $72.95	Professional		$72.95	$72.95	$72.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.61 / $133.03 / $175.27	Professional	TC	$86.61	$133.03	$175.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	26	$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $143.09 / $250.70	Professional		$85.45	$143.09	$250.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.07 / $99.62 / $181.67	Professional	TC	$52.07	$99.62	$181.67
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $42.90 / $48.00 / $77.18	Facility	26	$42.90	$48.00	$77.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $75.00 / $115.00	Professional		$40.00	$75.00	$115.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $104.08 / $171.60	Professional		$42.26	$104.08	$171.60
United Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $133.78 / $218.88	Professional		$93.39	$133.78	$218.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.74 / $90.24 / $155.85	Professional	TC	$60.74	$90.24	$155.85
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $83.44 / $134.57 / $134.57	Facility	26	$83.44	$134.57	$134.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $673.71 / $673.71 / $738.53	Professional		$673.71	$673.71	$738.53
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $514.25 / $514.25 / $517.20	Professional	TC	$514.25	$514.25	$517.20