Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.61 / $29.74 / $49.60	Facility	26	$26.61	$29.74	$49.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $70.02 / $119.80	Professional		$57.31	$70.02	$119.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $28.10 / $48.36	Professional	26	$25.75	$28.10	$48.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.84 / $29.19 / $45.81	Professional	52	$27.84	$29.19	$45.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.56 / $43.53 / $65.80	Professional	TC	$31.56	$43.53	$65.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $72.70 / $72.70	Professional		$72.70	$72.70	$72.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.93 / $56.11 / $85.45	Professional	26	$34.93	$56.11	$85.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.67 / $92.13 / $130.68	Professional	TC	$53.67	$92.13	$130.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.84 / $33.84 / $33.84	Facility	26	$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $108.81 / $193.51	Professional		$68.17	$108.81	$193.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.70 / $43.61 / $77.80	Professional	26	$26.70	$43.61	$77.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.08 / $62.82 / $111.96	Professional	TC	$38.08	$62.82	$111.96
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $41.24 / $60.00 / $73.42	Facility	26	$41.24	$60.00	$73.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $88.00 / $238.68	Professional		$40.00	$88.00	$238.68
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $41.61 / $60.00 / $108.82	Professional	26	$41.61	$60.00	$108.82
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $150.80 / $216.00 / $358.03	Professional	50	$150.80	$216.00	$358.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $107.60 / $178.20	Professional		$73.00	$107.60	$178.20
United Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $85.01 / $173.74	Professional		$64.34	$85.01	$173.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $37.01 / $82.58	Professional	26	$27.00	$37.01	$82.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.50 / $50.96 / $98.60	Professional	TC	$33.50	$50.96	$98.60
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $78.53 / $151.72 / $151.72	Facility	26	$78.53	$151.72	$151.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $497.00 / $566.17	Professional		$497.00	$497.00	$566.17
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $320.31 / $320.31 / $320.31	Professional	26	$320.31	$320.31	$320.31
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $320.31 / $320.31 / $323.63	Professional	TC	$320.31	$320.31	$323.63