Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.83 / $16.80 / $25.58	Facility	26	$14.83	$16.80	$25.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $41.10 / $81.50	Professional		$37.59	$41.10	$81.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $14.83 / $38.54	Professional	26	$14.08	$14.83	$38.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $26.27 / $51.62	Professional	TC	$23.51	$26.27	$51.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $36.45 / $36.45	Professional		$36.45	$36.45	$36.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $31.96 / $44.76	Professional	26	$23.33	$31.96	$44.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.57 / $55.35 / $83.29	Professional	TC	$46.57	$55.35	$83.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $18.82 / $18.82	Facility	26	$18.82	$18.82	$18.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $69.31 / $117.33	Professional		$42.13	$69.31	$117.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.61 / $24.87 / $43.47	Professional	26	$14.61	$24.87	$43.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.49 / $46.16 / $77.59	Professional	TC	$25.49	$46.16	$77.59
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $19.13 / $24.79 / $45.94	Facility	26	$19.13	$24.79	$45.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $26.00 / $56.73	Professional		$20.00	$26.00	$56.73
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $33.39 / $60.05 / $107.42	Professional	TC	$33.39	$60.05	$107.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $72.90 / $98.40	Professional		$39.50	$72.90	$98.40
United Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $58.89 / $101.63	Professional		$39.82	$58.89	$101.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.45 / $22.22 / $40.45	Professional	26	$15.45	$22.22	$40.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.90 / $37.45 / $60.85	Professional	TC	$23.90	$37.45	$60.85
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $41.72 / $80.66 / $80.66	Facility	26	$41.72	$80.66	$80.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $388.65 / $388.65	Professional		$301.08	$388.65	$388.65
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $104.20 / $132.90 / $132.90	Professional	26	$104.20	$132.90	$132.90
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $196.89 / $255.75 / $255.75	Professional	TC	$196.89	$255.75	$255.75