Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $273.24 / $368.82	Facility		$80.84	$273.24	$368.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.95 / $51.74 / $83.79	Facility	26	$26.95	$51.74	$83.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $82.23 / $172.37	Professional		$41.94	$82.23	$172.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.94 / $45.34 / $95.02	Professional	26	$26.94	$45.34	$95.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.23 / $179.00 / $263.32	Professional	50	$82.23	$179.00	$263.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.00 / $30.46 / $45.95	Professional	TC	$15.00	$30.46	$45.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $264.45 / $325.68	Facility		$246.02	$264.45	$325.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $88.25 / $88.25	Professional		$88.25	$88.25	$88.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.12 / $94.45 / $131.76	Professional	26	$54.12	$94.45	$131.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.05 / $84.92 / $113.05	Professional	TC	$48.05	$84.92	$113.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $53.68 / $130.55	Facility		$24.99	$53.68	$130.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $34.29 / $34.29	Facility	26	$34.29	$34.29	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $126.29 / $211.30	Professional		$53.86	$126.29	$211.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.79 / $63.09 / $114.26	Professional	26	$32.79	$63.09	$114.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.70 / $56.41 / $102.71	Professional	TC	$20.70	$56.41	$102.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $124.92 / $192.00	Facility		$43.20	$124.92	$192.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $54.67 / $58.00 / $91.48	Facility	26	$54.67	$58.00	$91.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $116.00 / $171.49	Professional		$39.00	$116.00	$171.49
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $58.00 / $72.02 / $110.18	Professional	26	$58.00	$72.02	$110.18
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $187.38 / $257.23 / $288.00	Professional	50	$187.38	$257.23	$288.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $125.40 / $190.80	Professional		$85.00	$125.40	$190.80
United Facility/Professional Facility Modifier Low / Median / High Price $142.74 / $142.74 / $142.74	Facility		$142.74	$142.74	$142.74
United Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $98.71 / $175.55	Professional		$51.30	$98.71	$175.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.25 / $52.24 / $96.65	Professional	26	$31.25	$52.24	$96.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $39.02 / $79.70	Professional	TC	$20.17	$39.02	$79.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $203.70 / $338.68 / $338.68	Facility		$203.70	$338.68	$338.68
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $93.26 / $198.78 / $198.78	Facility	26	$93.26	$198.78	$198.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $679.24 / $679.24 / $679.24	Professional		$679.24	$679.24	$679.24
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $335.18 / $335.18 / $335.18	Professional	26	$335.18	$335.18	$335.18
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $417.13 / $417.13 / $417.13	Professional	TC	$417.13	$417.13	$417.13