Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.00 / $99.00 / $158.13	Facility	26	$99.00	$99.00	$158.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.70 / $957.80 / $957.80	Professional		$774.70	$957.80	$957.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $691.46 / $858.80 / $858.80	Professional	TC	$691.46	$858.80	$858.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $470.39 / $807.50 / $1,974.34	Professional	TC	$470.39	$807.50	$1,974.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.28 / $114.28 / $114.28	Facility	26	$114.28	$114.28	$114.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.75 / $1,095.79 / $2,157.15	Professional		$314.75	$1,095.79	$2,157.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.43 / $955.76 / $1,886.44	Professional	TC	$197.43	$955.76	$1,886.44
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $138.00 / $138.00 / $270.86	Facility	26	$138.00	$138.00	$270.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $848.00 / $975.00	Professional		$127.00	$848.00	$975.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $1,215.40 / $2,184.19	Professional		$138.31	$1,215.40	$2,184.19
United Facility/Professional Professional Modifier Low / Median / High Price $519.69 / $1,010.72 / $2,186.30	Professional		$519.69	$1,010.72	$2,186.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $456.03 / $847.83 / $2,249.86	Professional	TC	$456.03	$847.83	$2,249.86
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $223.06 / $287.14 / $478.18	Facility	26	$223.06	$287.14	$478.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,422.07 / $6,422.07 / $7,978.20	Professional		$6,422.07	$6,422.07	$7,978.20
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $5,800.59 / $5,800.59 / $7,141.13	Professional	TC	$5,800.59	$5,800.59	$7,141.13