Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.92 / $51.93 / $71.73	Facility	26	$38.92	$51.93	$71.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.59 / $183.59 / $237.73	Professional		$183.59	$183.59	$237.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.66 / $144.66 / $207.04	Professional	TC	$144.66	$144.66	$207.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.33 / $355.27 / $531.36	Professional	TC	$260.33	$355.27	$531.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.71 / $48.71 / $48.71	Facility	26	$48.71	$48.71	$48.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.86 / $401.66 / $633.20	Professional		$259.86	$401.66	$633.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.67 / $317.91 / $513.03	Professional	TC	$203.67	$317.91	$513.03
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $58.41 / $76.00 / $134.56	Facility	26	$58.41	$76.00	$134.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $236.00 / $293.00	Professional		$57.00	$236.00	$293.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $251.87 / $436.00	Professional		$66.09	$251.87	$436.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $298.44 / $594.79	Professional		$217.71	$298.44	$594.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $171.36 / $251.86 / $470.77	Professional	TC	$171.36	$251.86	$470.77
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $101.86 / $125.16 / $210.24	Facility	26	$101.86	$125.16	$210.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,438.07 / $1,438.07 / $1,718.10	Professional		$1,438.07	$1,438.07	$1,718.10
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,200.89 / $1,200.89 / $1,373.85	Professional	TC	$1,200.89	$1,200.89	$1,373.85