Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $151.36 / $288.40	Facility	26	$83.18	$151.36	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $363.08	Professional		$109.65	$141.25	$363.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $51.29 / $128.82	Professional	TC	$38.02	$51.29	$128.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $75.86 / $162.18	Professional	TC	$48.98	$75.86	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $104.71 / $151.36	Facility	26	$22.39	$104.71	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $398.11	Professional		$165.96	$263.03	$398.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $100.00 / $169.82	Professional	TC	$58.88	$100.00	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	26	$173.78	$173.78	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $204.17 / $371.54	Professional		$72.44	$204.17	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $389.05	Professional		$144.54	$213.80	$389.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $85.11 / $131.83	Professional	TC	$47.86	$85.11	$131.83
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	26	$588.84	$588.84	$588.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,202.26	Professional		$1,148.15	$1,148.15	$1,202.26
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $602.56 / $602.56	Professional	TC	$602.56	$602.56	$602.56