Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.93 / $111.33 / $152.80	Facility	26	$83.93	$111.33	$152.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $129.24 / $271.85	Professional		$126.69	$129.24	$271.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.31 / $45.31 / $109.38	Professional	TC	$45.31	$45.31	$109.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.06 / $75.78 / $157.15	Professional	TC	$48.06	$75.78	$157.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.07 / $106.07 / $106.07	Facility	26	$106.07	$106.07	$106.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $260.27 / $401.74	Professional		$163.85	$260.27	$401.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.67 / $104.76 / $168.15	Professional	TC	$62.67	$104.76	$168.15
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $146.90 / $154.97 / $254.20	Facility	26	$146.90	$154.97	$254.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $122.00 / $182.00	Professional		$60.00	$122.00	$182.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $142.34 / $293.70	Professional		$72.97	$142.34	$293.70
United Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $218.35 / $402.24	Professional		$146.30	$218.35	$402.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.21 / $86.62 / $142.15	Professional	TC	$48.21	$86.62	$142.15
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $219.19 / $219.19 / $454.05	Facility	26	$219.19	$219.19	$454.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,161.00 / $1,161.00 / $1,194.83	Professional		$1,161.00	$1,161.00	$1,194.83
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $602.60 / $602.60 / $602.60	Professional	TC	$602.60	$602.60	$602.60