Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.02 / $45.86 / $45.86	Facility	26	$37.02	$45.86	$45.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.05 / $470.31 / $937.12	Professional		$420.05	$470.31	$937.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.69 / $46.29 / $88.04	Professional	26	$38.69	$46.29	$88.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $361.00 / $424.82 / $949.29	Professional	TC	$361.00	$424.82	$949.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.99 / $85.31 / $109.72	Professional	26	$47.99	$85.31	$109.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $406.30 / $496.85 / $736.29	Professional	TC	$406.30	$496.85	$736.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.38 / $378.84 / $939.09	Professional		$252.38	$378.84	$939.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.28 / $45.62 / $92.81	Professional	26	$27.28	$45.62	$92.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.89 / $333.19 / $837.18	Professional	TC	$215.89	$333.19	$837.18
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.56 / $51.56 / $51.56	Facility	26	$51.56	$51.56	$51.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $217.54 / $217.54 / $217.54	Professional		$217.54	$217.54	$217.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $328.09 / $1,654.41	Professional		$35.52	$328.09	$1,654.41
United Facility/Professional Professional Modifier Low / Median / High Price $286.67 / $530.41 / $907.80	Professional		$286.67	$530.41	$907.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.56 / $53.06 / $95.13	Professional	26	$33.56	$53.06	$95.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.09 / $449.71 / $801.48	Professional	TC	$253.09	$449.71	$801.48
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $280.44 / $280.44 / $280.44	Facility	26	$280.44	$280.44	$280.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,946.60 / $3,946.60 / $4,720.28	Professional		$3,946.60	$3,946.60	$4,720.28
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $363.38 / $363.38 / $451.05	Professional	26	$363.38	$363.38	$451.05
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $3,586.83 / $3,586.83 / $4,269.22	Professional	TC	$3,586.83	$3,586.83	$4,269.22