Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.84 / $65.04 / $99.57	Facility	26	$60.84	$65.04	$99.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.77 / $219.77 / $515.59	Professional		$219.77	$219.77	$515.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.95 / $60.84 / $101.25	Professional	26	$52.95	$60.84	$101.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.93 / $158.93 / $387.44	Professional	TC	$158.93	$158.93	$387.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.43 / $119.37 / $162.79	Professional	26	$92.43	$119.37	$162.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $317.88 / $842.90 / $1,342.58	Professional	TC	$317.88	$842.90	$1,342.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.81 / $69.81 / $69.81	Facility	26	$69.81	$69.81	$69.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.83 / $534.16 / $1,213.94	Professional		$289.83	$534.16	$1,213.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.94 / $95.40 / $167.93	Professional	26	$58.94	$95.40	$167.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.20 / $416.96 / $1,098.64	Professional	TC	$208.20	$416.96	$1,098.64
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $71.37 / $86.72 / $162.78	Facility	26	$71.37	$86.72	$162.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $201.00 / $280.00	Professional		$79.00	$201.00	$280.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $86.72 / $86.72 / $86.72	Professional	26	$86.72	$86.72	$86.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $420.20 / $615.29	Professional		$325.00	$420.20	$615.29
United Facility/Professional Professional Modifier Low / Median / High Price $236.88 / $430.27 / $728.13	Professional		$236.88	$430.27	$728.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.38 / $88.65 / $173.31	Professional	26	$58.38	$88.65	$173.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $164.46 / $309.22 / $671.30	Professional	TC	$164.46	$309.22	$671.30
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $446.88 / $446.88 / $560.96	Facility	26	$446.88	$446.88	$560.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,377.41 / $3,379.05 / $3,379.05	Professional		$3,377.41	$3,379.05	$3,379.05
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $432.70 / $432.70 / $496.35	Professional	26	$432.70	$432.70	$496.35
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $3,094.27 / $3,094.27 / $3,094.27	Professional	TC	$3,094.27	$3,094.27	$3,094.27