Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $100.00 / $208.93	Facility	26	$60.26	$100.00	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $588.84	Professional		$173.78	$263.03	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $63.10 / $186.21	Professional	26	$51.29	$63.10	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $186.21 / $501.19	Professional	TC	$128.82	$186.21	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $120.23 / $181.97	Professional	26	$87.10	$120.23	$181.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $831.76 / $1,258.93	Professional	TC	$316.23	$831.76	$1,258.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $69.18 / $100.00	Facility	26	$14.79	$69.18	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $537.03 / $1,202.26	Professional		$281.84	$537.03	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $95.50 / $162.18	Professional	26	$61.66	$95.50	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $416.87 / $1,096.48	Professional	TC	$199.53	$416.87	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	26	$104.71	$104.71	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $616.60	Professional		$323.59	$457.09	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $724.44	Professional		$223.87	$426.58	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $165.96	Professional	26	$58.88	$81.28	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $309.03 / $660.69	Professional	TC	$158.49	$309.03	$660.69
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	26	$562.34	$562.34	$562.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $436.52 / $436.52 / $501.19	Professional	26	$436.52	$436.52	$501.19
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional	TC	$3,090.30	$3,090.30	$3,090.30