Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.84 / $61.31 / $106.90	Facility	26	$57.84	$61.31	$106.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.08 / $281.08 / $743.32	Professional		$281.08	$281.08	$743.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.15 / $59.58 / $161.07	Professional	26	$57.15	$59.58	$161.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.25 / $223.25 / $353.44	Professional	TC	$223.25	$223.25	$353.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.04 / $136.69 / $175.73	Professional	26	$99.04	$136.69	$175.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $237.20 / $317.70 / $651.33	Professional	TC	$237.20	$317.70	$651.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.06 / $73.06 / $73.06	Facility	26	$73.06	$73.06	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.31 / $558.88 / $900.26	Professional		$338.31	$558.88	$900.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.33 / $118.24 / $183.74	Professional	26	$71.33	$118.24	$183.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.52 / $474.65 / $730.29	Professional	TC	$263.52	$474.65	$730.29
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $95.85 / $95.85 / $171.03	Facility	26	$95.85	$95.85	$171.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $354.00 / $439.00	Professional		$85.00	$354.00	$439.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $95.85 / $95.85 / $95.85	Professional	26	$95.85	$95.85	$95.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $359.31 / $672.40	Professional		$97.97	$359.31	$672.40
United Facility/Professional Professional Modifier Low / Median / High Price $328.75 / $536.84 / $925.09	Professional		$328.75	$536.84	$925.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.39 / $118.25 / $181.15	Professional	26	$66.39	$118.25	$181.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $258.11 / $395.47 / $712.63	Professional	TC	$258.11	$395.47	$712.63
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $151.49 / $151.49 / $311.41	Facility	26	$151.49	$151.49	$311.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,079.76 / $2,572.42 / $2,572.42	Professional		$2,079.76	$2,572.42	$2,572.42
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $405.29 / $505.58 / $505.58	Professional	26	$405.29	$505.58	$505.58
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,674.47 / $2,066.85 / $2,066.85	Professional	TC	$1,674.47	$2,066.85	$2,066.85