Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $101.27 / $123.73	Professional		$73.29	$101.27	$123.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.29 / $17.19 / $33.28	Professional	26	$15.29	$17.19	$33.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.17 / $84.07 / $104.68	Professional	TC	$60.17	$84.07	$104.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $47.92 / $47.92	Professional		$47.92	$47.92	$47.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.07 / $39.18 / $50.66	Professional	26	$29.07	$39.18	$50.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.92 / $111.45 / $168.28	Professional	TC	$70.92	$111.45	$168.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $133.44 / $265.49	Professional		$70.84	$133.44	$265.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.34 / $29.57 / $50.87	Professional	26	$17.34	$29.57	$50.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.89 / $106.34 / $225.66	Professional	TC	$48.89	$106.34	$225.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $81.00 / $117.00	Professional		$24.00	$81.00	$117.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $25.00 / $27.53 / $70.29	Professional	26	$25.00	$27.53	$70.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $134.33 / $175.28	Professional		$28.79	$134.33	$175.28
United Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $124.90 / $235.88	Professional		$69.55	$124.90	$235.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.22 / $26.49 / $50.98	Professional	26	$18.22	$26.49	$50.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.66 / $101.41 / $195.41	Professional	TC	$50.66	$101.41	$195.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $751.09 / $751.09 / $924.90	Professional		$751.09	$751.09	$924.90
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $205.00 / $205.00 / $205.00	Professional	26	$205.00	$205.00	$205.00
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $630.88 / $630.88 / $773.40	Professional	TC	$630.88	$630.88	$773.40