Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.21 / $60.35 / $93.34	Facility	26	$50.21	$60.35	$93.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.77 / $288.77 / $545.48	Professional		$288.77	$288.77	$545.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.20 / $50.21 / $84.55	Professional	26	$48.20	$50.21	$84.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $238.57 / $238.57 / $450.64	Professional	TC	$238.57	$238.57	$450.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.03 / $128.37 / $150.87	Professional	26	$85.03	$128.37	$150.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $418.32 / $537.07 / $777.34	Professional	TC	$418.32	$537.07	$777.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.78 / $63.78 / $63.78	Facility	26	$63.78	$63.78	$63.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.04 / $615.95 / $966.40	Professional		$405.04	$615.95	$966.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.93 / $103.25 / $160.46	Professional	26	$63.93	$103.25	$160.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $339.21 / $515.50 / $805.96	Professional	TC	$339.21	$515.50	$805.96
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $82.29 / $82.29 / $159.09	Facility	26	$82.29	$82.29	$159.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $388.00 / $462.00	Professional		$74.00	$388.00	$462.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $82.29 / $82.29 / $82.29	Professional	26	$82.29	$82.29	$82.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $402.70 / $676.30 / $909.30	Professional		$402.70	$676.30	$909.30
United Facility/Professional Professional Modifier Low / Median / High Price $342.07 / $503.77 / $925.68	Professional		$342.07	$503.77	$925.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.34 / $77.73 / $160.68	Professional	26	$57.34	$77.73	$160.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $283.64 / $400.05 / $767.56	Professional	TC	$283.64	$400.05	$767.56
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $131.71 / $131.71 / $270.80	Facility	26	$131.71	$131.71	$270.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,141.04 / $2,645.93 / $2,645.93	Professional		$2,141.04	$2,645.93	$2,645.93
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $351.55 / $443.25 / $443.25	Professional	26	$351.55	$443.25	$443.25
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,789.49 / $2,202.67 / $2,202.67	Professional	TC	$1,789.49	$2,202.67	$2,202.67