Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.61 / $51.27 / $78.05	Facility	26	$45.61	$51.27	$78.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $145.97 / $279.57	Professional		$122.32	$145.97	$279.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $45.91 / $131.99	Professional	26	$42.14	$45.91	$131.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.72 / $103.82 / $220.00	Professional	TC	$76.72	$103.82	$220.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $123.05 / $123.05	Professional		$123.05	$123.05	$123.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.81 / $111.94 / $140.54	Professional	26	$76.81	$111.94	$140.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $159.66 / $216.24 / $262.63	Professional	TC	$159.66	$216.24	$262.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.84 / $51.84 / $51.84	Facility	26	$51.84	$51.84	$51.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $262.95 / $438.54	Professional		$157.80	$262.95	$438.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.69 / $75.90 / $132.74	Professional	26	$44.69	$75.90	$132.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.78 / $178.92 / $324.70	Professional	TC	$105.78	$178.92	$324.70
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $70.11 / $95.00 / $131.12	Facility	26	$70.11	$95.00	$131.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $120.00 / $184.00	Professional		$62.00	$120.00	$184.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $70.11 / $70.11 / $167.84	Professional	26	$70.11	$70.11	$167.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $179.30 / $310.30 / $356.90	Professional		$179.30	$310.30	$356.90
United Facility/Professional Professional Modifier Low / Median / High Price $139.24 / $220.01 / $396.96	Professional		$139.24	$220.01	$396.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.29 / $64.15 / $126.55	Professional	26	$46.29	$64.15	$126.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.55 / $152.09 / $261.35	Professional	TC	$90.55	$152.09	$261.35
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $327.27 / $411.36 / $411.36	Facility	26	$327.27	$411.36	$411.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,055.73 / $1,055.73 / $1,108.95	Professional		$1,055.73	$1,055.73	$1,108.95
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $287.12 / $287.12 / $360.98	Professional	26	$287.12	$287.12	$360.98
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $803.30 / $803.30 / $803.30	Professional	TC	$803.30	$803.30	$803.30